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J. RANDALL PITMAN & ASSOCIATES, P.C.
NPI 1023131927
Optometrist in Boise, ID

Active since April 08, 2007
2051 S COLE RD, BOISE, ID 83709(208) 672-1200(208) 321-8728 Get Directions Write a Review

NPPES record last updated: February 3, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About J. Randall Pitman & Associates, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

J. RANDALL PITMAN & ASSOCIATES, P.C. (NPI 1023131927) is a healthcare organization registered as an optometrist in Boise, Idaho and active in the NPI registry since April 2007. The organization lists John Randall Pitman, President, as its authorized official.

NPPES Registry Identity

NPI1023131927
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameJ. RANDALL PITMAN & ASSOCIATES, P.C.
Location Address2051 S COLE RDBoise, ID 83709-2815
Mailing Address8577 W Pool CtBoise, ID 83714-1797 · (208) 853-1953
Phone(208) 672-1200
Fax(208) 321-8728
Organization SubpartNo
Authorized OfficialJohn Randall PitmanPresident · (208) 672-1200
Enumeration DateApril 8, 2007
Last NPPES UpdateFebruary 3, 2008
✔ NPI 1023131927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in ID · ODP-715
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2051 S COLE RD, Boise, ID 83709
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Other Identifiers 2

Medicare ID-Type Unspecified1591472ID · Provider Number
Medicare UPINT44353ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

J. Randall Pitman & Associates, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIdahoEnrollment IDO20120405000298Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to J. Randall Pitman & Associates, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

John Pitman, OD
Optometry
NPI 1568640423
2051 S COLE RD
Boise, ID 83709
(208) 672-1200
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is J. Randall Pitman & Associates, P.C.'s NPI number?

The NPI number for J. Randall Pitman & Associates, P.C. is 1023131927. It was assigned to this organization in the NPPES registry on April 8, 2007.

Where is J. Randall Pitman & Associates, P.C. located?

J. Randall Pitman & Associates, P.C. is located at 2051 S Cole Rd, Boise, ID 83709. The listed phone number is (208) 672-1200.

What is J. Randall Pitman & Associates, P.C.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is J. Randall Pitman & Associates, P.C. enrolled in Medicare?

Yes. J. Randall Pitman & Associates, P.C. is registered in the Medicare PECOS enrollment system.

When is J. Randall Pitman & Associates, P.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through J. Randall Pitman & Associates, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to J. Randall Pitman & Associates, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for J. Randall Pitman & Associates, P.C. was last updated on February 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.