RANDOLPH EYECARE CENTER PA
NPI 1891720330
Optometrist in Randolph, NJ
About Randolph Eyecare Center Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RANDOLPH EYECARE CENTER PA (NPI 1891720330) is a healthcare organization registered as an optometrist in Randolph, New Jersey and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 6, 2027 and lists Donald Raymond Walker, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Randolph Eyecare Center Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Randolph Eyecare Center PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 31D2089672
Randolph Eyecare Center · Randolph, NJFrequently 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 Randolph Eyecare Center PA's NPI number?
The NPI number for Randolph Eyecare Center PA is 1891720330. It was assigned to this organization in the NPPES registry on July 12, 2006.
Where is Randolph Eyecare Center PA located?
Randolph Eyecare Center PA is located at 477 Route 10 East Suite 103, Randolph, NJ 07869. The listed phone number is (973) 328-1311.
What is Randolph Eyecare Center PA's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Randolph Eyecare Center PA enrolled in Medicare?
Yes. Randolph Eyecare Center PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Randolph Eyecare Center PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Randolph Eyecare Center PA. 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. The largest specialties are Optometry (3) and Ophthalmology (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Randolph Eyecare Center PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D2089672) is associated with this NPI, valid through January 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Randolph Eyecare Center PA accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 1 other insurer list Randolph Eyecare Center PA 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 Randolph Eyecare Center PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Randolph Eyecare Center Pa · NPI 1891720330
Optometrist organization in Randolph, New Jersey. Organization record, active in the CMS NPPES registry since July 12, 2006.
## Identity
- **NPI:** 1891720330 (Entity type: Organization)
- **Enumerated:** July 12, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Donald Walker, PRESIDENT
## Practice location
- **Address:** 477 ROUTE 10 EAST, SUITE 103, Randolph, NJ 07869-2116
- **Phone:** (973) 328-1311 · **Fax:** (973) 328-8085
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Optometry (3), Ophthalmology (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1891720330) · Data from the CMS NPPES public registry.