H RANDOLPH BROWN O D INC
NPI 1679603344
Optometrist in Gold River, CA

Active since March 06, 2007
11226 GOLD EXPRESS DRIVE, STE 202, GOLD RIVER, CA 95670(916) 635-1037 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About H Randolph Brown O D Inc NPPES

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

H RANDOLPH BROWN O D INC (NPI 1679603344) is a healthcare organization registered as an optometrist in Gold River, California and active in the NPI registry since March 2007. The organization lists H Randolph Brown, Owner, as its authorized official.

NPPES Registry Identity

NPI1679603344
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameH RANDOLPH BROWN O D INC
Location Address11226 GOLD EXPRESS DRIVE, STE 202Gold River, CA 95670
Mailing Address11226 Gold Express Drive, Ste 202Gold River, CA 95670 · (916) 635-1037
Organization SubpartNo
Authorized OfficialH Randolph BrownOwner · (916) 635-1037
Enumeration DateMarch 6, 2007
Last NPPES UpdateJuly 18, 2023
NPPES CertifiedJuly 18, 2023
✔ NPI 1679603344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
11226 GOLD EXPRESS DRIVE, Gold River, CA 95670

Other Identifiers 1

MedicaidSD0068500CA

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)

H Randolph Brown O D Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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
StateCaliforniaEnrollment IDO20100930095739DME · Physician - OptometristDue dateNovember 30, 2026
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 H Randolph Brown O D Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Optometry
NPI 1194786053
11226 GOLD EXPRESS DR STE 202
Gold River, CA 95670
(916) 635-1037
✔ PECOS✔ Accepts MedicareSame address

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

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Dr Randolph Brown Od carries, from the Medicare DMEPOS supplier directory.

Dr Randolph Brown Od

DMEPOS supplier · Gold River, CAOperated by H Randolph Brown O D Inc
✔

Accepts Medicare assignment

Dr Randolph Brown Od agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20606975
Medicare Participant SinceJanuary 1, 2002
Supplier Location11226 Gold Express Dr Ste 202Gold River, CA 95670
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 H Randolph Brown O D Inc's NPI number?

The NPI number for H Randolph Brown O D Inc is 1679603344. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is H Randolph Brown O D Inc located?

H Randolph Brown O D Inc is located at 11226 Gold Express Drive Ste 202, Gold River, CA 95670. The listed phone number is (916) 635-1037.

What is H Randolph Brown O D Inc's specialty?

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

Is H Randolph Brown O D Inc enrolled in Medicare?

Yes. H Randolph Brown O D Inc is registered in the Medicare PECOS enrollment system.

When is H Randolph Brown O D Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (California, Physician - Optometrist) is due for revalidation by November 30, 2026. 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 H Randolph Brown O D Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to H Randolph Brown O D Inc. 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.

Does H Randolph Brown O D Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Dr Randolph Brown Od accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for H Randolph Brown O D Inc was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.