DR. RANDY FRANKLIN CORNWALL (OD) – Optometrist, NPI 1619901550

DR. RANDY FRANKLIN CORNWALL (OD) is a healthcare provider. based in Spirit lake, Iowa. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 02082 (IA). The NPI Number for DR. RANDY FRANKLIN CORNWALL (OD) is 1619901550

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. RANDY FRANKLIN CORNWALL (OD)
NPI
1619901550
Phone
(712) 336-1960
Address
2312 23RD STREET
Enumeration Date
10 July 2006
Last Update Date
4 December 2007

Doctor Profile

Medical School Name
FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Secondary Phone
7123361960
Graduation Year
1996 (30 years ago)
PAC ID
0648164749
Group Practice PAC ID
1951295047
Professional Enrollment ID
I20100827000616
Address ID
IA513601044SP2312XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

503 OPTOMETRY in IA

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Provider Addresses for DR. RANDY FRANKLIN CORNWALL (OD)

  • 2312, 23rd Street, Spirit Lake, Dickinson County, Iowa, 51360, United States

    SPIRIT LAKE, IA 513601044

    Phone: (712) 336-1960

    Type: Location

  • PO BOX AG

    SPIRIT LAKE, IA 513600328

    Phone: (712) 336-1960

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $223.

Total Amount is formed as General ($223) + Research ($0) + Ownership ($0) = $223.

Last reported payment date: 2024-09-09 • Largest payer in this snapshot: CooperVision Inc. ($55).

Total Amount

$223

General + Research + Ownership

Payments

13

Total payment records

General Amount

$223

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-09

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-08-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100827000616IOptometryIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes906893$0
99213Established patient office or other outpatient visit, 20-29 minutes642398$0
92134Imaging of retina234215$0
92133Imaging of optic nerve156141$0
92083Exam of visual field with extended testing154137$0
View full utilization report →

Insurance plans in this area (ZIP 51360)

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Provider's Procedures

DR. RANDY FRANKLIN CORNWALL (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYIA92083Measurement of field of vision during daylight conditions116104
OPTOMETRYIA92134Diagnostic imaging of retina178160

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951295047View full group profile
NameSpecialtyState
O P T O M E T R YMN
O P T O M E T R YIA
-IA
-IA
O P T O M E T R YIA

Reviews

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Frequently asked questions

Is DR. RANDY FRANKLIN CORNWALL (OD) listed with a National Provider Identifier?
Yes — DR. RANDY FRANKLIN CORNWALL (OD) has NPI 1619901550 on file in the registry.
Would DR. RANDY FRANKLIN CORNWALL (OD) appear as active to a payer?
You can treat DR. RANDY FRANKLIN CORNWALL (OD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. RANDY FRANKLIN CORNWALL (OD)'s focus?
For DR. RANDY FRANKLIN CORNWALL (OD), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. RANDY FRANKLIN CORNWALL (OD) located near Spirit Lake?
DR. RANDY FRANKLIN CORNWALL (OD) currently maps to Spirit Lake, Iowa in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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