Joshua David Randall, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

60136353 Issued in WA

Practice address

7203 W Deschutes Ave
Ste B
Kennewick, WA 99336-7777

Phone

(509) 416-0403

Fax

(509) 416-0435

NPI assigned

Jul 9, 2009

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 WA

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

Southern College of Optometry, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Cantley Vision Inc PSGroup PAC ID 9638162738, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Cantley Vision Inc PS

  • Optometrist
  • Richland, WA
  • NPI 1811109671
  Medicare reassignment Care Compare group NPD
• Creviston and Pedersen LLC

  • Optometrist
  • Moses Lake, WA
  • NPI 1174641690
  NPD (past)
• Eyecare Vision and Optical

  • Optometrist
  • Kennewick, WA
  • NPI 1346412582
  NPD (past)
• Standard Optical Co

  • Optometrist
  • Murray, UT
  • NPI 1508967977
  NPD (past)
• Standard Optical Company

  • Optometrist
  • West Point, UT
  • NPI 1659958841
  NPD (past)

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1922237197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7203 W DESCHUTES AVE",
            "address_2": "STE B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367777",
            "telephone_number": "509-416-0403",
            "fax_number": "509-416-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7203 W DESCHUTES AVE",
            "address_2": "STE B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367777",
            "telephone_number": "509-416-0403",
            "fax_number": "509-416-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "JOSHUA",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-09",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60136353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Ramos, D.C.
• Dayanara Ramos
• Joel Ramos
• Rene Ramos
• Janhvi Rana, MD
• Rangel Chiropractic Group, PLLC
• Diana Isabel Rangel
• Rashawna Denise Rankins
• Richard Ransdell, PTA
• Rapid Care MDS LLC

• Optometrist in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.