1. Home
  2. Directory
  3. Texas
  4. San Antonio
  5. Optometrist
  6. NPI Profile

DR. RANDALL DAVID ELLIOTT O.D.
NPI 1053422030
Optometrist in San Antonio, TX

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
11850 WURZBACH RD, SAN ANTONIO, TX 78230(210) 492-4101(210) 492-5623 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Randall David Elliott O.d. NPPES

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

DR. RANDALL DAVID ELLIOTT O.D. (NPI 1053422030) is an individual optometrist in San Antonio, Texas, licensed in Texas (4457TG) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1991).

NPPES Registry Identity

NPI1053422030
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. RANDALL DAVID ELLIOTTCredential: O.D.
Location Address11850 WURZBACH RDSan Antonio, TX 78230-2744
Mailing Address11850 Wurzbach RdSan Antonio, TX 78230-2744 · (210) 492-4101 · Fax (210) 492-5623
Phone(210) 492-4101
Fax(210) 492-5623
Sole ProprietorYes
Medical School CMSSouthern College Of OptometryGraduated 1991
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1053422030 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 TX · 4457TG
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.
11850 WURZBACH RD, San Antonio, TX 78230
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified00E68VTX
Medicare UPINU20206TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Randall David Elliott O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244499572
PECOS Enrollment IDI20120306000899
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
44 services42 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78230 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Randall Elliott's NPI number?

The NPI number for Randall Elliott is 1053422030. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Randall Elliott located?

Randall Elliott practices at 11850 Wurzbach Rd, San Antonio, TX 78230. The listed phone number is (210) 492-4101.

What is Randall Elliott's specialty?

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

Is Randall Elliott enrolled in Medicare?

Yes. Randall Elliott is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Randall Elliott accept?

Health plans from Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and Providence Health Plan list Randall Elliott as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randall Elliott was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.