Dr Randall Earl Conrad, OD in Poway, CA - Medicare Optometrist Provider

Dr Randall Earl Conrad, OD is a medicare enrolled "Optometrist - Corneal And Contact Management" provider in Poway, California. His current practice location is 12845 Poway Rd, Ste. 209, Poway, California. You can reach out to his office (for appointments etc.) via phone at (858) 748-6210.

Dr Randall Earl Conrad is licensed to practice in California (license number 6423T) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962617464.

Contact Information

	Dr Randall Earl Conrad, OD
	12845 Poway Rd, Ste. 209, Poway, CA 92064-4529
	(858) 748-6210
	(858) 748-6224

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Randall Earl Conrad
Gender	Male
Speciality	Optometrist - Corneal And Contact Management
Location	12845 Poway Rd, Poway, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962617464
Provider Enumeration Date: 05/10/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6103120720
Enrollment ID: I20200928002376

Medical Identifiers

Medical identifiers for Dr Randall Earl Conrad such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962617464	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152WC0802X	Optometrist - Corneal And Contact Management	6423T (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Randall Earl Conrad allows following entities to bill medicare on his behalf.

Provider Name	Alvarado Eye Associates Med Clinic Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1619973591 PECOS PAC ID: 0749382042 Enrollment ID: O20070216000198

Provider Name	Total Vision Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1356813711 PECOS PAC ID: 9234472242 Enrollment ID: O20190515000216

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Randall Earl Conrad is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Randall Earl Conrad, OD 472 Nila, Poway, CA 92020 Ph: (619) 444-7269	Dr Randall Earl Conrad, OD 12845 Poway Rd, Ste. 209, Poway, CA 92064-4529 Ph: (858) 748-6210

Reviews and Comments

Optometrist in Poway, CA

North County Ophthalmology Medical Group, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15708 Pomerado Rd, Suite N-202, Poway, CA 92064 Phone: 858-485-5600 Fax: 858-485-5692
David A Edwards, M.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15708 Pomerado Rd, Suite N 202, Poway, CA 92064 Phone: 858-485-5600 Fax: 858-485-5692
Yana Repkin Od A Professional Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13425 Community Rd, Poway, CA 92064 Phone: 858-486-1954 Fax: 858-486-1963
David I Bloomberg,od,a Professional Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13035 Pomerado Rd Ste C, Poway, CA 92064 Phone: 858-486-7609
Firstsight Vision Services, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13425 Community Rd, Poway, CA 92064 Phone: 858-486-1954 Fax: 858-486-1963
Dr. Pinto Franco Ng Zhao, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 13625 Adrian St, Poway, CA 92064 Phone: 858-883-5588
David I Bloomberg,od, A Professional Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13035 Pomerado Rd Ste C, Poway, CA 92064 Phone: 858-486-7609

Dr Randall Earl Conrad, OD - Medicare Optometrist in Poway, CA