DR. BRIAN RANDOLPH (OD) – Optometrist, NPI 1326615717

DR. BRIAN RANDOLPH (OD) is a healthcare provider. based in Oakton, Virginia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 0618003022 (VA). The NPI Number for DR. BRIAN RANDOLPH (OD) is 1326615717

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN RANDOLPH (OD)
NPI
1326615717
Phone
(703) 606-7161
Address
2784 MARSHALL LAKE DR
Enumeration Date
5 June 2021
Last Update Date
5 June 2021

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
7032732398
Graduation Year
2021 (5 years ago)
PAC ID
4587067186
Group Practice PAC ID
0345143517
Professional Enrollment ID
I20210720002188
Address ID
VA220300986FA3930XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,052 OPTOMETRY in VA

Provider Addresses for DR. BRIAN RANDOLPH (OD)

  • 2784 MARSHALL LAKE DR

    OAKTON, VA 221241148

    Phone: (703) 606-7161

    Type: Mailing

  • 3930 PENDER DR STE 10

    FAIRFAX, VA 220300986

    Phone: (703) 273-2398

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 84 Open Payments records for all available years, with a total value of $1,510.

Total Amount is formed as General ($1,510) + Research ($0) + Ownership ($0) = $1,510.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($375).

Total Amount

$1,510

General + Research + Ownership

Payments

84

Total payment records

General Amount

$1,510

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

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: 2021-07-20

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
I20210720002188IOptometryDCTBD

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 minutes210184$0
99213Established patient office or other outpatient visit, 20-29 minutes140107$0
92250Photography of the retina10595$0
92133Imaging of optic nerve9589$0
99212Established patient office or other outpatient visit, 10-19 minutes8870$0
View full utilization report →

Insurance plans in this area (ZIP 22124)

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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: 0345143517View full group profile
NameSpecialtyState
O P H T H A L M O L O G YVA
O P H T H A L M O L O G YVA
-FL
O P H T H A L M O L O G YVA

Reviews

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Frequently asked questions

Is there an official ID for DR. BRIAN RANDOLPH (OD) in U.S. healthcare records?
The official identifier for DR. BRIAN RANDOLPH (OD) is NPI 1326615717.
Is DR. BRIAN RANDOLPH (OD) shown as active in public data?
Registry records indicate DR. BRIAN RANDOLPH (OD) maintains an active NPI.
What expertise is attributed to DR. BRIAN RANDOLPH (OD)?
DR. BRIAN RANDOLPH (OD)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. BRIAN RANDOLPH (OD)?
Travel planning: use Oakton, Virginia as the reference point for DR. BRIAN RANDOLPH (OD), then confirm.
When was this NPI issued?
Enumeration for DR. BRIAN RANDOLPH (OD) is noted as June 5, 2021 where the registry provides it.

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