RANDY B CARTER (O.D.) – Optometrist, NPI 1174569990

RANDY B CARTER (O.D.) is a healthcare provider. based in Salt lake city, Utah. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 112697-9934 (UT). The NPI Number for RANDY B CARTER (O.D.) is 1174569990

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
RANDY B CARTER (O.D.)
NPI
1174569990
Phone
(801) 266-2283
Address
755 E 3900 S
Enumeration Date
21 June 2006
Last Update Date
23 August 2012

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
8012662283
Graduation Year
1983 (43 years ago)
PAC ID
4082780911
Group Practice PAC ID
3678556438
Professional Enrollment ID
I20100503000438
Address ID
UT841072105SA755XX3900300
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

312 OPTOMETRY in UT

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Provider Addresses for RANDY B CARTER (O.D.)

  • 3900 South, Shadowbrook Apartments, West Valley City, Salt Lake County, Utah, 84119, United States

    SALT LAKE CITY, UT 841072105

    Phone: (801) 266-2283

    Fax: (801) 268-6151

    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)

CMS reports 16 Open Payments records for all available years, with a total value of $439.

Total Amount is formed as General ($439) + Research ($0) + Ownership ($0) = $439.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($209).

Total Amount

$439

General + Research + Ownership

Payments

16

Total payment records

General Amount

$439

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2010-05-03

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
I20100503000438IOptometryUTTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes407369$0
92014Established patient complete exam of visual system344341$0
92134Imaging of retina141132$0
92133Imaging of optic nerve11294$0
99214Established patient office or other outpatient visit, 30-39 minutes104103$0
View full utilization report →

Insurance plans in this area (ZIP 84107)

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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: 3678556438View full group profile
NameSpecialtyState
O P T O M E T R YUT
-UT
-UT
O P H T H A L M O L O G YUT
-UT
O P H T H A L M O L O G YUT
O P T O M E T R YUT
O P H T H A L M O L O G YUT
O P H T H A L M O L O G YUT
-UT

Reviews

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Frequently asked questions

Can I verify RANDY B CARTER (O.D.) with an NPI only?
You can start verification with NPI 1174569990 for RANDY B CARTER (O.D.), then check state licensing separately.
Is RANDY B CARTER (O.D.) still practicing?
RANDY B CARTER (O.D.) is currently listed as active in the public NPI registry.
What is RANDY B CARTER (O.D.)'s specialty?
The listing groups RANDY B CARTER (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Where is RANDY B CARTER (O.D.) based?
RANDY B CARTER (O.D.) is tied to Salt Lake City, Utah in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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