RANDY B CARTER O.D.
NPI 1174569990
Optometrist in Salt Lake City, UT
About Randy B Carter O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RANDY B CARTER O.D. (NPI 1174569990) is an individual optometrist in Salt Lake City, Utah, licensed in Utah (112697-9934) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (1983).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Randy B Carter 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.
Medicare Billing Reassignment
Medicare enrollment records show Randy Carter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salt Lake City, UT 84107
- Reassigned Medicare billing, Utah enrollment
- 14 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84107
SALT LAKE CITY, UT 84107
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 Randy Carter's NPI number?
The NPI number for Randy Carter is 1174569990. It was assigned to this individual provider in the NPPES registry on June 21, 2006.
Where is Randy Carter located?
Randy Carter practices at 755 E 3900 S, Salt Lake City, UT 84107. The listed phone number is (801) 266-2283.
What is Randy Carter's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Randy Carter enrolled in Medicare?
Yes. Randy Carter 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.
Which organization bills Medicare for Randy Carter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randy Carter reassigns Medicare benefits to Eye Institute Of Utah Inc (Salt Lake City, UT). The 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 Randy Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Randy Carter accept?
Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc. and Regence BlueCross BlueShield of Utah list Randy Carter 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 Randy Carter was last updated on August 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Randy B Carter, O.D. · NPI 1174569990
Optometrist provider in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since June 21, 2006.
## Identity
- **NPI:** 1174569990 (Entity type: Individual)
- **Enumerated:** June 21, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 112697-9934 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 755 E 3900 S, Salt Lake City, UT 84107-2105
- **Phone:** (801) 266-2283 · **Fax:** (801) 268-6151
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Eye Institute Of Utah Inc (NPI 1366515041, Salt Lake City, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana University - School Of Optometry, class of 1983
## Record status
- **NPPES last updated:** August 23, 2012
- **Other identifiers:** Medicare PIN U000009912 (UT); Medicare UPIN T78183 (UT)
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Source: [NPI Profile](https://npiprofile.com/npi/1174569990) · Data from the CMS NPPES public registry.