Randy Fortkamp, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18004260A Issued in IN

Practice address

711 N River Dr
Marion, IN 46952-2672

Phone

(765) 664-9637

NPI assigned

Jun 3, 2021

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

Medicare fee-for-service enrollment

Enrolled in IN

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

Indiana University - School of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Eye Consultants PCGroup PAC ID 2961399217, 71 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

55.99 of 100Reported as group

Quality

31.67

Improvement activities

40

Cost

78.58

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Midwest Eye Consultants, P.C.

  • Ophthalmology Physician
  • Fort Wayne, IN
  • NPI 1912960535
  Medicare reassignment Care Compare group NPD
• Midwest Eye Consultants, P.C.

  • Optometrist
  • Berne, IN
  • NPI 1578090239
  NPD
• Midwest Eye Consultants, PC

  • Optometrist
  • Fort Wayne, IN
  • NPI 1548132715
  NPD
• Midwest Eye Consultants, P.C.

  • Optometrist
  • Greensburg, IN
  • NPI 1013480482
  NPD (past)
• Midwest Eye Consultants, P.C.

  • Optometrist
  • Chesterton, IN
  • NPI 1023066784
  NPD (past)

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1770159337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 N TROY AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469529792",
            "telephone_number": "260-251-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N RIVER DR",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522672",
            "telephone_number": "765-664-9637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTKAMP",
        "first_name": "RANDY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004260A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lily Ford, RBT
• Christine Marie Fording, BA, MATS
• Forefront Dermatology, S.C.
• Carolina Forman, MA, LMHC
• Evan Forshey, RBT
• R. Nathaniel Foster, PHD, ATC, LAT
• Andrew Fowler
• Stacy Lynn Fox
• Marlee Francois, RBT
• Christine Fravel, RBT

• Optometrist in Marion, IN
• Providers in Marion, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.