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

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donald Raymond Walker, O.D.NPI 1508891466

Title

President

Phone

(973) 328-1311

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Lynn Perrin, O.D.

  • Optometrist
  • Randolph, NJ
  • NPI 1316967599
  Medicare reassignment Care Compare group NPD
• Kristin Kosch Schaefers

  • Optometrist
  • Randolph, NJ
  • NPI 1316409949
  Medicare reassignment Care Compare group NPD
• Richard Nathaniel Walker, D.O.

  • Ophthalmology Physician
  • Randolph, NJ
  • NPI 1497892996
  Medicare reassignment Care Compare group NPD
• Diane Marie Alesi, O.D.

  • Optometrist
  • Rye, NY
  • NPI 1891730990

  NJ

  Medicare reassignment Care Compare group NPD
• Donald Raymond Walker, O.D.

  • Optometrist
  • Randolph, NJ
  • NPI 1508891466
  Authorized official Same address or phone
• Robert A Faust, A.B.O.C.

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

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

{
    "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

• Optometrist in Randolph, NJ
• Providers in Randolph, NJ by specialty
• 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.