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DR. RANDALL EARL CONRAD O.D.
NPI 1962617464
Optometrist - Corneal and Contact Management in Poway, CA

Active since May 10, 2007PECOS Enrolled
12845 POWAY RD, STE. 209, POWAY, CA 92064(858) 748-6210(858) 748-6224 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Randall Earl Conrad O.d. NPPES

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

DR. RANDALL EARL CONRAD O.D. (NPI 1962617464) is an individual corneal and contact management provider in Poway, California, licensed in California (6423T) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962617464
Entity TypeIndividualMale
Primary Taxonomy152WC0802X
Provider Legal NameDR. RANDALL EARL CONRADCredential: O.D.
Location Address12845 POWAY RD, STE. 209Poway, CA 92064-4529
Mailing Address472 NilaPoway, CA 92020 · (619) 444-7269 · Fax (858) 748-6224
Phone(858) 748-6210
Fax(858) 748-6224
Sole ProprietorNo
Enumeration DateMay 10, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962617464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License✔ Licensed in CA · 6423T
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
12845 POWAY RD, Poway, CA 92064
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Other Identifiers 1

Medicare UPIN6423TCA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Randall Earl Conrad O.d. 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 Reassignments

2

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

Total Vision PC
4.6 mi
Optometrist
11717 BERNARDO PLAZA CT STE 105
San Diego, CA 92128
  • Reassigned Medicare billing, California enrollment
  • 236 clinicians in this Medicare group
NPI 1356813711 (858) 487-5555
Alvarado Eye Associates Med Clinic Inc
13 mi
Multi-Specialty
7877 PARKWAY DR., SUITE# 100
La Mesa, CA 91942
  • Reassigned Medicare billing, California enrollment
  • 9 clinicians in this Medicare group
NPI 1619973591 (619) 460-3711

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 92064 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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

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

DONALD J. JANIUK O.D.
Optometrist
12845 POWAY RD, STE 209
POWAY, CA 92064
San Diego County (858) 748-6210

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 Conrad's NPI number?

The NPI number for Randall Conrad is 1962617464. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is Randall Conrad located?

Randall Conrad practices at 12845 Poway Rd Ste. 209, Poway, CA 92064. The listed phone number is (858) 748-6210.

What is Randall Conrad's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Randall Conrad enrolled in Medicare?

Yes. Randall Conrad is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Randall Conrad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randall Conrad reassigns Medicare benefits to 2 organizations: Total Vision PC (San Diego, CA) and Alvarado Eye Associates Med Clinic Inc (La Mesa, CA). 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 Conrad'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 Randall Conrad was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.