Active NPI
Randall Lee Saint John, O.D.
- Optometrist
- Rancho Santa Margarita, CA
National Provider Identifier
1760654735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6107 TPA
- Practice address
- 30212 Tomas
Suite 170
Rancho Santa Margarita, CA 92688-2172 - Phone
- (949) 589-0900
- Fax
- (949) 589-0767
- NPI assigned
- Mar 30, 2008
- Last updated
- Mar 30, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6107 TPA | CA | Primary |
Addresses
Primary practice location
30212 Tomas
Suite 170
Rancho Santa Margarita, CA 92688-2172
Mailing address
24 Via Calandria
San Clemente, CA 92672-4576
Phone (949) 498-1961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6107 TPA | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Vision PC | Optometrist | Past | Accepting new patients |
| Steven D Smith an Optometric Corporation | Optometrist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Rancho Santa Margarita, CA
- NPI 1205004975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206835200000",
"number": "1760654735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 VIA CALANDRIA",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926724576",
"telephone_number": "949-498-1961",
"fax_number": "949-388-1893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30212 TOMAS",
"address_2": "SUITE 170",
"city": "RANCHO SANTA MARGARITA",
"state": "CA",
"postal_code": "926882172",
"telephone_number": "949-589-0900",
"fax_number": "949-589-0767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAINT JOHN",
"first_name": "RANDALL",
"middle_name": "LEE",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-30",
"last_updated": "2008-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "6107 TPA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Santa Margarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.