Lucious Randle Jr. (NPI# 1336171123, PAC ID# 2769654748) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1336171123 |
| PAC ID by PECOS | 2769654748 |
| Professional Enrollment ID | I20111018000617 |
| Full Name | Lucious Randle Jr. |
| Address |
1213 Hermann Dr Suite 415 Houston TX 77004-7010 |
| Gender | M |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | OPHTHALMOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450035 | ST JOSEPH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1213 Hermann Dr, Suite 415, Houston, TX 77004-7010 | ||
| 1315 St Joseph Pkwy, Suite 1205, Houston, TX 77002-8235 | 7136593937 | CHARLES A. GARCIA,MDPA |
| 4704 Montrose Blvd, Houston, TX 77006-6122 | 7133330151 | CHARLES A. GARCIA,MDPA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Street Address |
1213 HERMANN DR SUITE 415 |
| City | HOUSTON |
| State | TX |
| Zip | 77004-7010 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan W Ahern | Dermatology | Advanced Dermatologic Surgery P A | 1213 Hermann Dr, Suite 650, Houston, TX 77004-7012 |
| Andrew L Doe | Interventional Radiology | Vascular and Interventional Radiology of America | 1213 Hermann Dr, Suite 255, Houston, TX 77004-7074 |
| Alvin Raymond C Tan | Nephrology | Pulmonary and Internal Medicine Associates, L.l.p. | 1213 Hermann Dr, Suite 570, Houston, TX 77004-7025 |
| Mark A Price | Dermatology | Advanced Dermatologic Surgery P A | 1213 Hermann Dr, Suite 650, Houston, TX 77004-7012 |
| Concepcion R Diaz-arrastia | Obstetrics/gynecology | Elizabeth Bonefas, Md, Pa | 1213 Hermann Dr, Suite 675, Houston, TX 77004-7083 |
| Elizabeth T Bonefas | General Surgery | Elizabeth Bonefas, Md, Pa | 1213 Hermann Dr, Suite 675, Houston, TX 77004-7083 |
| Ralph Harry Hunter Jr. | Certified Registered Nurse Anesthetist (crna) | 1213 Hermann Dr, Suite 255, Houston, TX 77004-7074 | |
| Tam V Ho | Nephrology | 1213 Hermann Dr, Suite 260, Houston, TX 77004-7074 | |
| Brian E Tison | Allergy/immunology | Vital Allergy and Asthma Center | 1213 Hermann Dr, Suite 550, Houston, TX 77004-7089 |
| Robert L Thompson Jr. | Nephrology | 1213 Hermann Dr, Suite 700, Houston, TX 77004-7059 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jae Lynn Graham | Physician Assistant | Elizabeth Knafo,md,pa | 1200 Binz, Suite 175, Houston, TX 77004 |
| Lubor J Jarolimek | Orthopedic Surgery | 2121 Oakdale, Houston, TX 77004 | |
| Courtney E Fischer-brown | Physician Assistant | Elizabeth Knafo,md,pa | 1200 Binz, Suite 175, Houston, TX 77004 |
| Carol Manning | Nurse Practitioner | Elizabeth Knafo,md,pa | 1200 Binz, Houston, TX 77004 |
| Georgine De Roth | Family Practice | Elizabeth Knafo,md,pa | 1200 Binz, Houston, TX 77004 |
| Maimalynne Johnson | Nurse Practitioner | Harris County Hospital District | 1603 Mcgowen, Houston, TX 77004-1146 |
| Emelike U Agomo | Ophthalmology | 2424 Hamilton St, Suite 210, Houston, TX 77004-1203 | |
| Marilyn J Foster | Clinical Social Worker | On Site Counseling,inc. | 3007 Caroline St, Houston, TX 77004-2822 |
| Dahl A Rollins | Psychologist, Clinical | On Site Counseling,inc. | 3007 Caroline St, Houston, TX 77004-2822 |
| Tyesha Alexander | Clinical Psychologist | On Site Counseling,inc. | 3007 Caroline St, Houston, TX 77004-2822 |
| Find all physicians in zip 77004 | |||
| City | HOUSTON |
| Zip Code | 77004 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | HOUSTON + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Lucious Randle Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.