Individual provider Active NPI

Taylor Whitley Randich, OD

  • Optometrist
  • Harrisburg, NC
National Provider Identifier
1710478532
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5602 Issued in FL
Practice address
4039 Harris Square Dr
Harrisburg, NC 28075-5104
Phone
(704) 997-2020
Fax
(704) 251-7055
NPI assigned
May 29, 2018
Last updated
May 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2766 NC
Optometrist 152W00000X OPC5602 FL Primary

Addresses

Primary practice location

4039 Harris Square Dr
Harrisburg, NC 28075-5104

Mailing address

2116 Prairie Rd
Concord, NC 28027-0062
Phone (704) 223-2595

Other practice location 1

1910 Jake Alexander Blvd W Ste 101
Salisbury, NC 28147-1163
Phone (704) 633-2581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181207000833 FL Practitioner - Optometry 2365786993 Reassigns benefits to 2 organizations
I20260303002562 NC Practitioner - Optometry 2365786993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4039 Harris Square Dr
Harrisburg, NC 28075-5104
Phone (704) 997-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel J Teske OD PA Optometrist CurrentSince Dec 28, 2018 Accepting new patients
True Eye Experts West Palm LLC Optometrist CurrentSince Sep 12, 2021 Accepting new patients
Taylor Randich, OD, PLLC Optometrist CurrentSince Dec 22, 2025 Accepting new patients
Value Vision of Tampa Bay Inc Optometrist CurrentSince Oct 25, 2018 Accepting new patients
Myeyedr Optometry of North Carolina PLLC Optometrist CurrentSince Sep 23, 2024 Accepting new patients

Locations

1180 Nikki View Dr
Brandon, FL 33511
Phone (813) 651-1400

23388 State Road 54
Ste 102
Lutz, FL 33549
Phone 81371020206937

19070 Bruce B Downs Blvd
Tampa, FL 33647
Phone (813) 632-2020

2740 Seven Springs Blvd
Trinity, FL 34655
Phone (727) 372-0414

4039 Harris Square Dr
Harrisburg, NC 28075
Phone (704) 223-2595

1910 Jake Alexander Blvd W
Ste 101
Salisbury, NC 28147
Phone (704) 633-2581

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1710478532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 PRAIRIE RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280270062",
            "telephone_number": "704-223-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4039 HARRIS SQUARE DR",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280755104",
            "telephone_number": "704-997-2020",
            "fax_number": "704-251-7055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 Jake Alexander Blvd W Ste 101",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281471163",
            "country_code": "US",
            "telephone_number": "704-633-2581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDICH",
        "first_name": "TAYLOR",
        "middle_name": "WHITLEY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2766",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, NC

Sources for this page

Verify at the official NPI Registry.