Randolph Eyecare Center PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

RANDOLPH EYECARE CENTER PA

Practice address

477 Route 10 East
Suite 103
Randolph, NJ 07869-2116

Phone

(973) 328-1311

Fax

(973) 328-8085

NPI assigned

Jul 12, 2006

Organization subpart

No

Name

Dr. Donald Raymond Walker, O.D.

Title

President

Phone

(973) 328-1311

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Lynn Perrin, O.D.

  • Optometrist
  • Randolph, NJ
  • NPI 1316967599

  NJ, Optometrist

  Medicare reassignment Care Compare group NPD
• Kristin Kosch Schaefers

  • Optometrist
  • Randolph, NJ
  • NPI 1316409949

  NJ, Optometrist

  Medicare reassignment Care Compare group NPD
• Richard Nathaniel Walker, D.O.

  • Ophthalmology Physician
  • Randolph, NJ
  • NPI 1497892996

  NJ

  Medicare reassignment Care Compare group NPD
• Diane Marie Alesi, O.D.

  • Optometrist
  • Rye, NY
  • NPI 1891730990

  NJ, Optometrist

  Medicare reassignment Care Compare group NPD
• Robert A Faust, A.B.O.C.

  • Optician
  • Randolph, NJ
  • NPI 1407076094
  NPD (past)

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891720330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 ROUTE 10 EAST",
            "address_2": "SUITE 103",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692116",
            "telephone_number": "973-328-1311",
            "fax_number": "973-328-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 ROUTE 10 EAST",
            "address_2": "SUITE 103",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692116",
            "telephone_number": "973-328-1311",
            "fax_number": "973-328-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH EYECARE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-328-1311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Randazzo, MD
• Randolph Center for Oral and Maxillofacial Surgery, LLC
• Randolph Center for Oral and Maxillofacial Surgery, PA
• Randolph Dental Care
• Randolph Dermatology and Mohs Micrographic Surgery LLC
• Randolph Family & Cosmetic Dentistry
• Randolph Family Hearing Center
• Randolph Medical & Renal Associates P.a.
• Randolph Oral Pathology Associates, LLC
• Randolph Otolaryngology PC

• All providers in Randolph, NJ
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.