Randy Franklin Cornwall, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

02082 Issued in IA

Practice address

2312 23Rd Street
Spirit Lake, IA 51360-1044

Phone

(712) 336-1960

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Ferris State College - College of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyecare CentreGroup PAC ID 1951295047, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.59 of 100Reported as individual

Quality

79.18

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eyecare Centre

  • Optometrist
  • Spirit Lake, IA
  • NPI 1750315040
  Medicare reassignment Care Compare group Authorized official
• Eyecare Centre

  • Optometrist
  • Spencer, IA
  • NPI 1780762229
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1619901550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX AG",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513600328",
            "telephone_number": "712-336-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 23RD STREET",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601044",
            "telephone_number": "712-336-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNWALL",
        "first_name": "RANDY",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS OF IOWA",
            "identifier": "40832",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1162032",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chiropractic Concepts
• Christensen - Bieri of Spirit Lake, D.D.S., P.C.
• Amber Rae Christensen, PHARM.D.
• Shanna R Clabaugh, D.C.
• Nathan Cornwall
• Angela Lynn Crowley, RN
• Dakota Dermatology at Spirit Lake PC
• Danielle Dawn, PRS
• Dermatology Skin Studio PC
• Dickinson County Anesthesia Services, PC

• Optometrist in Spirit Lake, IA
• Providers in Spirit Lake, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.