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RANDALL CARROLL LAMBIRTH II O.D.
NPI 1215995261
Optometrist in Lexington, KY

Active since May 01, 2006PECOS EnrolledAccepts Medicare Assignment
3221 SUMMIT SQUARE PL STE 200, LEXINGTON, KY 40509(859) 303-6464(859) 303-6465 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 14, 2026, Jan 7, 2022 (2 updates tracked since 2022).

About Randall Carroll Lambirth Ii O.d. NPPES

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

RANDALL CARROLL LAMBIRTH II O.D. (NPI 1215995261) is an individual optometrist in Lexington, Kentucky, licensed in Kentucky (KY1485DT) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1215995261
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameRANDALL CARROLL LAMBIRTH IICredential: O.D.
Location Address3221 SUMMIT SQUARE PL STE 200Lexington, KY 40509-2655
Mailing Address3221 Summit Square Pl Ste 200Lexington, KY 40509-2655 · (859) 303-6464 · Fax (859) 303-6465
Phone(859) 303-6464
Fax(859) 303-6465
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 1, 2006
Last NPPES UpdateJanuary 14, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
✔ NPI 1215995261 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 KY · KY1485DT
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.
3221 SUMMIT SQUARE PL STE 200, Lexington, KY 40509
Open in Google Maps ↗

Other Identifiers 1

Other1485DTKY · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.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

Randall Carroll Lambirth Ii 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 ID8022033430
PECOS Enrollment IDI20090706000577
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Randall Lambirth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Kentucky Eyecare And Wellness, LLC
Same address
Optometrist
3221 SUMMIT SQUARE PL STE 200
Lexington, KY 40509
  • Reassigned Medicare billing, Kentucky enrollment
  • 3 clinicians in this Medicare group
NPI 1104587591 (859) 303-6464
Myeyedr Optometry Of Kentucky, PLLC
Same address
Optometrist
3221 SUMMIT SQUARE PL STE 200
Lexington, KY 40509
  • Reassigned Medicare billing, Kentucky enrollment
  • 25 clinicians in this Medicare group
NPI 1265399620 (859) 303-6464

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 3

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.
57 services53 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services20 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
16 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40509 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. REBECCA HOPE LANHAM O.D.
Optometrist
3221 SUMMIT SQUARE PL STE 200
LEXINGTON, KY 40509
Fayette County (859) 303-6464
CENTRAL KENTUCKY EYECARE AND WELLNESS, LLC
Optometrist
3221 SUMMIT SQUARE PL STE 200
LEXINGTON, KY 40509
Fayette County (859) 303-6464
DR. ELIZABETH COURSON TANNER OD
Optometrist
3221 SUMMIT SQUARE PL STE 200
LEXINGTON, KY 40509
Fayette County (859) 303-6464
MYEYEDR OPTOMETRY OF KENTUCKY, PLLC
Optometrist
3221 SUMMIT SQUARE PL STE 200
LEXINGTON, KY 40509
Fayette County (859) 303-6464

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 Lambirth's NPI number?

The NPI number for Randall Lambirth is 1215995261. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Randall Lambirth located?

Randall Lambirth practices at 3221 Summit Square Pl Ste 200, Lexington, KY 40509. The listed phone number is (859) 303-6464.

What is Randall Lambirth's specialty?

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

Is Randall Lambirth enrolled in Medicare?

Yes. Randall Lambirth 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 organizations bill Medicare for Randall Lambirth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randall Lambirth reassigns Medicare benefits to 2 organizations: Central Kentucky Eyecare And Wellness, LLC (Lexington, KY) and Myeyedr Optometry Of Kentucky, PLLC (Lexington, KY). Each 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 Randall Lambirth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Randall Lambirth accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Randall Lambirth 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 Lambirth was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.