RANDELL R RAY (OD) – Optometrist, NPI 1780622357

RANDELL R RAY (OD) is a healthcare provider. based in N richland hills, Texas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2873TG (TX). The NPI Number for RANDELL R RAY (OD) is 1780622357

Main info

Male
45 Years Of Experience
Name
RANDELL R RAY (OD)
NPI
1780622357
Phone
(817) 526-5558
Address
8924 SOUTHTHORN DR
Enumeration Date
3 June 2006
Last Update Date
22 March 2017

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
8175265558
Graduation Year
1981 (45 years ago)
PAC ID
5890834196
Professional Enrollment ID
I20091130000121
Address ID
TX760334123CL1616XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,128 OPTOMETRY in TX

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Provider Addresses for RANDELL R RAY (OD)

  • 8924, Souththorn Drive, Thornbridge East, North Richland Hills, Tarrant County, Texas, 76182, United States

    N RICHLAND HILLS, TX 761827539

    Phone: (817) 526-5558

    Fax: (817) 526-5825

    Type: Mailing

  • Walmart Supercenter, 1616, West Henderson Street, Cleburne, Johnson County, Texas, 76033, United States

    CLEBURNE, TX 760334123

    Phone: (817) 526-5558

    Fax: (817) 526-5825

    Type: Location

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: 2009-11-30

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
I20091130000121IOptometryTXTBD

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
92082Exam of visual field with intermediate testing9595$0
99204New patient office or other outpatient visit, 45-59 minutes5151$0
92250Photography of the retina5050$0
99214Established patient office or other outpatient visit, 30-39 minutes4444$0
View full utilization report →

Insurance plans in this area (ZIP 76182)

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Reviews

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Frequently asked questions

What number should I use to identify RANDELL R RAY (OD) for billing?
Administrative and clinical systems typically use NPI 1780622357 for RANDELL R RAY (OD).
Is RANDELL R RAY (OD) currently accepting referrals based on NPI status?
Registry metadata lists RANDELL R RAY (OD) as active.
What services align with RANDELL R RAY (OD)'s listing?
RANDELL R RAY (OD)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
What city is tied to RANDELL R RAY (OD)?
The directory associates RANDELL R RAY (OD) with N Richland Hills, Texas. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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