Active NPI
Randy H Norris, O.D.
- Optometrist
- Ontario, OR
National Provider Identifier
1619928587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3386ATI
- Practice address
- 1257 SW 4TH Ave
Ontario, OR 97914-4516 - Phone
- (541) 889-2191
- Fax
- (541) 881-1523
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODP-100098 | ID | |
| Optometrist | 152W00000X | 3386ATI | OR | Primary |
Addresses
Primary practice location
1257 SW 4TH Ave
Ontario, OR 97914-4516
Mailing address
1257 SW 4TH Ave
Ontario, OR 97914-4516
Phone (541) 889-2191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807822301 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
350 E LN S
Ontario, OR 97914-3058
Phone (541) 889-2020
395 S 16TH St
Payette, ID 83661-3351
Phone (208) 642-4434
Merit-based Incentive Payment System (MIPS)
- Final score
- 66.81 of 100
- Quality
- 33.62
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 46 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ODP-100098 | ID | MD | Optometrist |
| 3386ATI | OR | MD | Optometrist |
| 2264 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hollingshead Eye Center, PC | Optometrist | Past | Accepting new patients |
Interoperability endpoints
- rnorris.od@familyeyecenter.eyefinity-direct.com
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493164800000",
"number": "1619928587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1257 SW 4TH AVE",
"city": "ONTARIO",
"state": "OR",
"postal_code": "979144516",
"telephone_number": "541-889-2191",
"fax_number": "541-881-1523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1257 SW 4TH AVE",
"city": "ONTARIO",
"state": "OR",
"postal_code": "979144516",
"telephone_number": "541-889-2191",
"fax_number": "541-881-1523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "RANDY",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2017-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ID",
"license": "ODP-100098",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "3386ATI",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807822301",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ontario, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.