DR. RANDY A OMLOR (O.D, M.S) – Optometrist, NPI 1215038898

DR. RANDY A OMLOR (O.D, M.S) is a healthcare provider. based in Wooster, Ohio. specializing in OPTOMETRY. They hold the professional credentials O.D, M.S. They hold a License No. 5643 (OH). The NPI Number for DR. RANDY A OMLOR (O.D, M.S) is 1215038898

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. RANDY A OMLOR (O.D, M.S)
NPI
1215038898
Phone
(704) 300-2244
Address
2744 VINTON WOODS DR
Enumeration Date
26 September 2006
Last Update Date
7 April 2017

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
3308772117
Graduation Year
2006 (20 years ago)
PAC ID
9234233479
Group Practice PAC ID
5597765925
Professional Enrollment ID
I20170123001589
Address ID
OH446328401HA500XXAVEX400
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

1,618 OPTOMETRY in OH

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Provider Addresses for DR. RANDY A OMLOR (O.D, M.S)

  • Vinton Woods, Wooster, Wayne County, Ohio, 44691, United States

    WOOSTER, OH 446915309

    Phone: (704) 300-2244

    Type: Mailing

  • Dalbey Lane, Berlin, Holmes County, Ohio, 44610, United States

    SUITE B

    BERLIN, OH 446100224

    Phone: (330) 893-2215

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-09-06 • Largest payer in this snapshot: Alcon Vision LLC ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$21
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: 2017-09-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170123001589IOptometryOHTBD
I20170921001243IOptometryTXTBD

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 minutes4340$0
92250Photography of the retina2120$0
99212Established patient office or other outpatient visit, 10-19 minutes1813$0
View full utilization report →

Insurance plans in this area (ZIP 44691)

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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: 5597765925View full group profile
NameSpecialtyState
O P T O M E T R YOH
O P T O M E T R YOH
O P T O M E T R YOH
O P T O M E T R YOH

Reviews

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Frequently asked questions

What NPI should I save for DR. RANDY A OMLOR (O.D, M.S)?
Save NPI 1215038898 if you need a stable reference for DR. RANDY A OMLOR (O.D, M.S).
Does this profile mean DR. RANDY A OMLOR (O.D, M.S) is currently active?
Yes — DR. RANDY A OMLOR (O.D, M.S) appears active in the national provider directory.
What does DR. RANDY A OMLOR (O.D, M.S) treat or focus on?
Patients typically see DR. RANDY A OMLOR (O.D, M.S) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
Where does public data place DR. RANDY A OMLOR (O.D, M.S)?
The snapshot lists Wooster, Ohio for DR. RANDY A OMLOR (O.D, M.S); download NPPES for the complete set.
What if Wooster, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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