Active NPI
Taylor Whitley Randich, OD
- Optometrist
- Harrisburg, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC5602
- 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, 2026
- Sex
- Female
- 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 | 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, NC
- 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
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samuel J Teske OD PA | Optometrist | Current | Accepting new patients |
| True Eye Experts West Palm LLC | Optometrist | Current | Accepting new patients |
| Taylor Randich, OD, PLLC | Optometrist | Current | Accepting new patients |
| Value Vision of Tampa Bay Inc | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of North Carolina PLLC | Optometrist | Current | 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.
-
- Optometrist
- Harrisburg, NC
- NPI 1528923562
-
- Optometrist
- Brandon, FL
- NPI 1720250152
-
dba True Eye Experts Vero Beach
- Optometrist
- Vero Beach, FL
- NPI 1184393720
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.