Active NPI
Randell R Ray PC
- Clinic/Center
- Cleburne, TX
National Provider Identifier
1972837094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 2873TG
- Legal business name
- RANDELL R RAY PC
- Practice address
- 1616 W Henderson St
Cleburne, TX 76033-4123 - Phone
- (817) 526-5558
- Fax
- (817) 526-5825
- NPI assigned
- Sep 22, 2009
- Organization subpart
- Yes
- Parent organization
- RANDELL R RAY PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randell R Ray, O.D.
- Title
- President
- Phone
- (817) 526-5558
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 2873TG | TX | Primary |
Addresses
Primary practice location
1616 W Henderson St
Cleburne, TX 76033-4123
Mailing address
1420 Airport Fwy Ste H
Bedford, TX 76022-6778
Phone (817) 283-2001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014FG | Other | TX | BLUE CROSS BLUE SHIELD OF TEXAS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Randell R Ray PC
Locations
1420 Airport Fwy
Ste H
Bedford, TX 76022
Phone (817) 283-2001
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Cleburne, TX
- NPI 1780622357
-
- Optometrist
- Bedford, TX
- NPI 1871614271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588896000000",
"number": "1972837094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 AIRPORT FWY STE H",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760226778",
"telephone_number": "817-283-2001",
"fax_number": "817-283-0993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 W HENDERSON ST",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760334123",
"telephone_number": "817-526-5558",
"fax_number": "817-526-5825"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RANDELL R RAY PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RANDELL R RAY PC",
"enumeration_date": "2009-09-22",
"last_updated": "2020-05-08",
"certification_date": "2020-05-08",
"status": "A",
"authorized_official_last_name": "RAY",
"authorized_official_first_name": "RANDELL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "817-526-5558",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "TX",
"license": "2873TG",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
"identifier": "0014FG",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleburne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.