Randal Kevin Dyck, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1504-3 Issued in KS

Practice address

1107 SW Gage Blvd Ste 200
Topeka, KS 66604-2098

Phone

(785) 271-8989

Fax

(785) 228-0370

NPI assigned

Mar 21, 2006

Last updated

Feb 26, 2008By the provider in NPPES

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

Other identifiers 2

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Eye Care of Topeka, P.a.

  • Optometrist
  • Topeka, KS
  • NPI 1508919762
  Medicare reassignment NPD
• DRS Price Young Odle & Horsch PA

  dba The EyeDoctors

  • Optometrist
  • Lawrence, KS
  • NPI 1124043021
  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1952360679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 SW GAGE BLVD STE 200",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666042098",
            "telephone_number": "785-271-8989",
            "fax_number": "785-228-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 SW GAGE BLVD STE 200",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666042098",
            "telephone_number": "785-271-8989",
            "fax_number": "785-228-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYCK",
        "first_name": "RANDAL",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1504-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "053933",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CI4708",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert D Durst Jr., M.D.
• Jesse Duvall
• Lakshmi K Duvvur, MD
• Abhiram Duvvuri, M.D
• Marypat Blum Dwyer, ARNP
• Jason Dye
• Dinah Ann Dykes, LSCSW
• E Medical Group of Kansas No. 4, LLC
• E.P.I.C. LLC
• Erika Alexandria Easley

• Optometrist in Topeka, KS
• Providers in Topeka, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.