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

Q: 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.

Q: What is Randy Dutton's specialty?

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

Q: 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.

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: October 18, 2026.

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Randy Dutton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Eye Group, P. C.

571 mi

Optometrist

11124 KINGSTON PIKE, SUITE 127
Knoxville, TN 37934

Reassigned Medicare billing, Tennessee enrollment
6 clinicians in this Medicare group

NPI 1417037136 (865) 966-2020

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

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.

Which organization bills Medicare for Randy Dutton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randy Dutton reassigns Medicare benefits to The Eye Group, P. C. (Knoxville, TN). 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 Dutton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.