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RANDY W DUTTON OPTOMETRIST
NPI 1902891468
Optometrist in Patrick Afb, FL

Active since September 12, 2005PECOS Enrolled
1381 S PATRICK DR, PATRICK AFB, FL 32925(321) 494-8164(321) 494-1378 Get Directions Write a Review

NPPES record last updated: November 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Randy W Dutton Optometrist NPPES

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

RANDY W DUTTON OPTOMETRIST (NPI 1902891468) is an individual optometrist in Patrick Afb, Florida, licensed in Minnesota (1827) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902891468
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameRANDY W DUTTONCredential: OPTOMETRIST
Location Address1381 S PATRICK DRPatrick Afb, FL 32925-3606
Mailing Address2520 Village LnTitusville, FL 32780-8745 · (321) 269-3405
Phone(321) 494-8164
Fax(321) 494-1378
Sole ProprietorNo
Enumeration DateSeptember 12, 2005
Last NPPES UpdateNovember 21, 2011
✔ NPI 1902891468 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 MN · 1827
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.
1381 S PATRICK DR, Patrick Afb, FL 32925
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Other Identifiers 1

Medicare UPINVAD000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randy W Dutton Optometrist is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32925 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 20

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

ADRIENNE B FAHERTY RPH
Pharmacist
1381 S PATRICK DR
PATRICK AIR FORCE BASE, FL 32925
Brevard County (321) 494-8991
DR. KIRBY GLEN HARVEY JR. M.D., M.S.
Psychiatry & Neurology (Psychiatry)
1381 S PATRICK DR
PATRICK AFB, FL 32925
Brevard County (321) 494-8234
JEANETTE NECOLE HARRIS IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
1381 S PATRICK DR
PATRICK AFB, FL 32925
Brevard County (321) 494-8191
DAVID M FARRELL PT
Physical Therapist
1381 S PATRICK DR
PATRICK AFB, FL 32925
Brevard County (321) 494-8129
JOSE F EDUARDO DMD
Dentist
1381 S PATRICK DR, 45TH MEDICAL GROUP
PATRICK AFB, FL 32925
Brevard County (321) 494-6366
NAQUITA JACKSON MANNING NP
Nurse Practitioner (Women's Health)
1381 S PATRICK DR, 45TH MEDICAL GROUP
PATRICK AFB, FL 32925
Brevard County (678) 517-7363
MATTHEW PARKER PADGETT FMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1381 S PATRICK DR
PATRICK AFB, FL 32925
Brevard County (321) 494-8234
THOMAS S HOFFMAN DO
Preventive Medicine (Occupational Medicine)
1381 S PATRICK DR, 45 MEDICAL GROUP
PATRICK AIR FORCE BASE, FL 32925
Brevard County (321) 494-5981

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 Dutton's NPI number?

The NPI number for Randy Dutton is 1902891468. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is Randy Dutton located?

Randy Dutton practices at 1381 S Patrick Dr, Patrick Afb, FL 32925. The listed phone number is (321) 494-8164.

What is Randy Dutton's specialty?

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

Is Randy Dutton enrolled in Medicare?

Yes. Randy Dutton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Randy Dutton was last updated on November 21, 2011. 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.