DERRICK RANDALL (NPI# 1417309329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417309329 |
| Entity Type | Individual |
| Full Name | DERRICK RANDALL |
| Credential | OD |
| Practice Address |
600 Ontario St Storm Lake IA 50588-1845 |
| Practice Telephone | 7127323233 |
| Practice Fax Number | 7127321866 |
| Mailing Telephone | 7127323233 |
| Mailing Fax Number | 7127321866 |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2018-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 087654 | IA | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14545 W Grand Ave, Suite 109, Surprise, AZ 853747278 | 6232143848 | 6232143851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699766758 | Derrick Wade Randall | Anesthesiology | 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5894 | 2005-10-28 |
| 1366828790 | Derrick Randall | Otolaryngology | 2521 Stockton Blvd # 7200, Sacramento, CA 95817-2207 | 2015-08-07 |
| Street Address |
600 ONTARIO ST |
| City | STORM LAKE |
| State | IA |
| Zip Code | 50588-1845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255315644 | Donovan L Crouch | Optometrist | 600 Ontario St, Storm Lake, IA 50588-1845 | 2005-11-30 |
| 1174767941 | Megan Alta Sullivan | Optometrist | 600 Ontario St, Storm Lake, IA 50588-1845 | 2009-04-23 |
| 1528020773 | Vision Care Associates PC | Optometrist | 600 Ontario St, Storm Lake, IA 50588-1845 | 2006-04-04 |
| 1336123355 | Craig D Crouch | Optometrist | 600 Ontario St, Storm Lake, IA 50588-1845 | 2005-12-02 |
| 1265416671 | Fred Dehaan | Optometrist | 600 Ontario St, Storm Lake, IA 50588-1845 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327173 | Joanne Alvorez | Social Worker | 728 Erie Street, Storm Lake, IA 50588 | 2020-08-19 |
| 1023481165 | Krauth Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 1 Colonial Circle, Storm Lake, IA 50588 | 2015-11-12 |
| 1992129605 | Martin Health Services LLC | Pharmacy | 1229 Lake Ave, Storm Lake, IA 50588 | 2014-02-17 |
| 1487948824 | John Gary Armstrong | Surgery | 210 East 5th St, Storm Lake, IA 50588 | 2011-06-02 |
| 1235447871 | New Directions for Mental Health, LLC | Social Worker | 808 Michigan St., Suite A, Storm Lake, IA 50588 | 2010-09-16 |
| 1659555225 | Hy Vee Inc | Pharmacy | 606 Lake Avenue, Suite A, Storm Lake, IA 50588 | 2007-12-19 |
| 1134311616 | Madison County Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1624 Lake Ave Ste 1, Storm Lake, IA 50588 | 2007-08-17 |
| 1356402754 | Rex Michael Shearer | Dentist | 217 West 6th, Storm Lake, IA 50588 | 2006-12-12 |
| 1639242209 | Gregory G Hansen | Dentist | 217 West 6th Street, Storm Lake, IA 50588 | 2006-11-15 |
| 1174536585 | Rick Alan Martin | Dentist | 720 Tornado Drive, Storm Lake, IA 50588 | 2006-08-15 |
| Find all providers in zip 50588 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871644864 | Timothy Todd Masters | Optometrist | 100 East Milwaukee Ave, Storm Lake, IA 50588-1873 | 2007-01-16 |
| 1255315644 | Donovan L Crouch | Optometrist | 600 Ontario St, Storm Lake, IA 50588-1845 | 2005-11-30 |
| 1174767941 | Megan Alta Sullivan | Optometrist | 600 Ontario St, Storm Lake, IA 50588-1845 | 2009-04-23 |
| 1528020773 | Vision Care Associates PC | Optometrist | 600 Ontario St, Storm Lake, IA 50588-1845 | 2006-04-04 |
| 1336123355 | Craig D Crouch | Optometrist | 600 Ontario St, Storm Lake, IA 50588-1845 | 2005-12-02 |
| 1265416671 | Fred Dehaan | Optometrist | 600 Ontario St, Storm Lake, IA 50588-1845 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523406 | Kari Hellstern Od, P.C. | Optometrist | 550 36th Ave Sw Ste K1, Altoona, IA 50009-2626 | 2020-09-21 |
| 1508489824 | Clear View Vision Center, LLC | Optometrist | 1001 Avenue H Ste 2, Fort Madison, IA 52627-4559 | 2020-05-20 |
| 1952923609 | Le Mars Eye Care, PC | Optometrist | 26 5th Ave Nw, Le Mars, IA 51031-3427 | 2020-05-15 |
| 1275161549 | Metro Eyecare Associates LLC | Optometrist | 111 Nw 9th St Ste 1, Ankeny, IA 50023-1754 | 2020-03-31 |
| 1699314815 | American Eyecare PC | Optometrist | 1802 E Washington St Ste 101, Mt Pleasant, IA 52641-3217 | 2020-01-06 |
| 1659910453 | Luke R Ploessl | Optometrist | 2140 Jfk Rd Ste F, Dubuque, IA 52002-3883 | 2019-12-27 |
| 1063059186 | Reedy Eye Specialists | Optometrist | 2217 Main St # 329, Emmetsburg, IA 50536-2446 | 2019-12-09 |
| 1447896782 | Hawkeye Exact, LLC | Optometrist | 1801 4th St, Sioux City, IA 51101-2118 | 2019-11-21 |
| 1770144941 | Eyecare Partners, P.C. | Optometrist | 440 S 68th St, West Des Moines, IA 50266-8431 | 2019-06-27 |
| 1407415599 | Jacob Michael Diedrich | Optometrist | 5001 Sergeant Rd Ste 45, Sioux City, IA 51106-4777 | 2019-06-11 |
| Find all providers with the same taxonomy | ||||
| City | STORM LAKE |
| Zip Code | 50588 |
Please comment or provide details below to improve the information on DERRICK RANDALL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.