DR. RANDALL S LOUDENSLAGER (O.D.) – Optometrist, NPI 1104853522

DR. RANDALL S LOUDENSLAGER (O.D.) is a healthcare provider. based in Avon, Ohio. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 923 (AZ). The NPI Number for DR. RANDALL S LOUDENSLAGER (O.D.) is 1104853522

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. RANDALL S LOUDENSLAGER (O.D.)
NPI
1104853522
Phone
(440) 661-8169
Address
36254 WENDELL ST
Enumeration Date
28 June 2006
Last Update Date
7 February 2020

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
2164442200
Graduation Year
1995 (31 years ago)
PAC ID
0446320311
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20080604000119
Address ID
OH441950001CL9500XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,618 OPTOMETRY in OH

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Provider Addresses for DR. RANDALL S LOUDENSLAGER (O.D.)

  • 36254, Wendell Street, Highland Park, Avon, Lorain County, Ohio, 44011, United States

    AVON, OH 440114415

    Phone: (440) 661-8169

    Type: Mailing

  • Cooper Foster Park Road West, Lorain, Sheffield Township, Lorain County, Ohio, 44053, United States

    LORAIN, OH 440534152

    Phone: (440) 988-4040

    Fax: (440) 988-4041

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $392.

Total Amount is formed as General ($392) + Research ($0) + Ownership ($0) = $392.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Tarsus Pharmaceuticals, Inc. ($164).

Total Amount

$392

General + Research + Ownership

Payments

10

Total payment records

General Amount

$392

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2008-06-04

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
I20080604000119IOptometryOHTBD

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 minutes475444$0
92134Imaging of retina160147$0
99213Established patient office or other outpatient visit, 20-29 minutes131100$0
92133Imaging of optic nerve110109$0
99203New patient office or other outpatient visit, 30-44 minutes6060$0
View full utilization report →

Insurance plans in this area (ZIP 44011)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

What number should I use to identify DR. RANDALL S LOUDENSLAGER (O.D.) for billing?
Administrative and clinical systems typically use NPI 1104853522 for DR. RANDALL S LOUDENSLAGER (O.D.).
Quick check: is DR. RANDALL S LOUDENSLAGER (O.D.) active?
Public NPPES data shows DR. RANDALL S LOUDENSLAGER (O.D.) with an active NPI status right now.
How should patients interpret DR. RANDALL S LOUDENSLAGER (O.D.)'s specialty?
The extract shows Optometrist for DR. RANDALL S LOUDENSLAGER (O.D.). Clinical services aligned with this taxonomy classification.
What city is tied to DR. RANDALL S LOUDENSLAGER (O.D.)?
The directory associates DR. RANDALL S LOUDENSLAGER (O.D.) with Avon, Ohio. Check all listed addresses for suites or satellite offices.
Who maintains DR. RANDALL S LOUDENSLAGER (O.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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