MR. RANDAL J ETHRIDGE (OD) – Optometrist, NPI 1144324260

MR. RANDAL J ETHRIDGE (OD) is a healthcare provider. based in Brownwood, Texas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4460T (TX). The NPI Number for MR. RANDAL J ETHRIDGE (OD) is 1144324260

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
MR. RANDAL J ETHRIDGE (OD)
NPI
1144324260
Phone
(325) 643-5511
Address
1200 AUSTIN AVENUE
Enumeration Date
11 September 2006
Last Update Date
16 October 2012

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
3256435511
Graduation Year
1991 (35 years ago)
PAC ID
9032015995
Professional Enrollment ID
I20031210001009
Address ID
TX768013311BR1200XAVEX300
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

3,128 OPTOMETRY in TX

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Provider Addresses for MR. RANDAL J ETHRIDGE (OD)

  • 1200, Austin Avenue, Brownwood, Brown County, Texas, 76801, United States

    BROWNWOOD, TX 76801

    Phone: (325) 643-5511

    Fax: (325) 646-1496

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2003-12-10

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
I20031210001009IOptometryTXTBD

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
92012Established patient problem focused exam of visual system345344$0
92004New patient complete exam of visual system5252$0
99212Established patient office or other outpatient visit, 10-19 minutes4542$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional3227$0
92134Imaging of retina2727$0
View full utilization report →

Insurance plans in this area (ZIP 76801)

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Provider's Procedures

MR. RANDAL J ETHRIDGE (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYTX92012Eye and medical examination for diagnosis and treatment, established patient9191

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Frequently asked questions

Is there an official ID for MR. RANDAL J ETHRIDGE (OD) in U.S. healthcare records?
The official identifier for MR. RANDAL J ETHRIDGE (OD) is NPI 1144324260.
Is MR. RANDAL J ETHRIDGE (OD) still an active registrant?
MR. RANDAL J ETHRIDGE (OD) carries an active NPI according to the public dataset.
What clinical focus is listed for MR. RANDAL J ETHRIDGE (OD)?
At a glance, MR. RANDAL J ETHRIDGE (OD) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. RANDAL J ETHRIDGE (OD)?
Directory geography for MR. RANDAL J ETHRIDGE (OD) centers on Brownwood, Texas.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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