Marcus S Randall, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1846 Issued in KS

Practice address

1400 W Central Ave
El Dorado, KS 67042-2201

Phone

(316) 320-2200

Fax

(316) 320-0430

NPI assigned

Aug 6, 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 KS

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

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Wichita Family OptometristsGroup PAC ID 0749181584, 6 clinicians

Practice addresses (Care Compare)

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.

• West Wichita Family Optometrists

  • Optometrist
  • Wichita, KS
  • NPI 1821069220
  Medicare reassignment Care Compare group NPD
• Grene Vision Group LLC

  • Ophthalmology Physician
  • Wichita, KS
  • NPI 1285627562

  Optometrist

  Medicare reassignment NPD
• Steven a. Kuhl OD, LLC

  • Optometrist
  • Wichita, KS
  • NPI 1205415387
  Medicare reassignment NPD
• Grene Vision Group LLC

  • Optometrist
  • Wichita, KS
  • NPI 1225240591
  NPD
• Grene Vision Group LLC

  • Optometrist
  • Wichita, KS
  • NPI 1598215006
  NPD
• Steven a Kuhl OD, LLC

  • Optometrist
  • El Dorado, KS
  • NPI 1184384554
  NPD

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1922239169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063413",
            "telephone_number": "316-691-4484",
            "fax_number": "316-691-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W CENTRAL AVE",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670422201",
            "telephone_number": "316-320-2200",
            "fax_number": "316-320-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "MARCUS",
        "middle_name": "S",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-06",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tera Price
• Debra Prim
• Tyson Blake Prouse, M.S., T-LMLP
• R.M. Moody,DDS/El Dorado
• Aubrey Shea Ralston, M.D.
• William Spencer Rasband, DDS
• Rausch Medical Clinics, LLC
• Suguna V Reddy, MD
• Ashlee Marie Reed, LMSW
• Shirley Reed

• Optometrist in El Dorado, KS
• Providers in El Dorado, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.