Randall Earl Conrad, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

6423T Issued in CA

Practice address

12845 Poway Rd
Ste. 209
Poway, CA 92064-4529

Phone

(858) 748-6210

Fax

(858) 748-6224

NPI assigned

May 10, 2007

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Enrolled in CA

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.

• Alvarado Eye Associates Med Clinic Inc

  • Multi-Specialty Clinic/Center
  • La Mesa, CA
  • NPI 1619973591

  Corneal and Contact Management

  Medicare reassignment NPD
• Total Vision PC

  dba Total Vision

  • Optometrist
  • San Diego, CA
  • NPI 1356813711
  Medicare reassignment NPD
• Donald J. Janiuk O.D.

  • Optometrist
  • Poway, CA
  • NPI 1881969582
  NPD (past)
• Lisa M. Weiss, O.D. Optometric Corp

  • Vision Therapy Optometrist
  • El Cajon, CA
  • NPI 1588790273

  Corneal and Contact Management

  NPD (past)
• Steven T Klein OD & Kimberly Plattner OD a Professional Corporation

  dba Total Vision Care Advanced Optometry

  • Optometrist
  • San Diego, CA
  • NPI 1861529703
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962617464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 NILA",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "92020",
            "telephone_number": "619-444-7269",
            "fax_number": "858-748-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12845 POWAY RD",
            "address_2": "STE. 209",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644529",
            "telephone_number": "858-748-6210",
            "fax_number": "858-748-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "RANDALL",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "6423T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Sidney Combs, D.D.S.
• Vanessa Dawn Comola, MSTOM
• Connections Speech Therapy
• Edward Conner
• Alan John Conrad, MD
• Consensus MD Inc
• Brian Contreras
• Nicol R Cook, DDS
• Fran F Cooper, MFT
• Carol Christine Cornelius, MD

• Corneal and Contact Management Optometrist in Poway, CA
• Providers in Poway, CA by specialty
• Corneal and Contact Management Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.