RANDY A BIRT (OD) – Optometrist, NPI 1649240656

RANDY A BIRT (OD) is a healthcare provider. based in Bristol, Virginia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 06275TG (TX). The NPI Number for RANDY A BIRT (OD) is 1649240656

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
RANDY A BIRT (OD)
NPI
1649240656
Phone
(276) 466-4227
Address
1701 EUCLID AVE
Enumeration Date
23 January 2006
Last Update Date
7 August 2014

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
4232467372
Graduation Year
2002 (24 years ago)
PAC ID
4981842895
Group Practice PAC ID
4284604596
Professional Enrollment ID
I20171219000266
Address ID
TN376603847KI135XXRDXX409
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

1,052 OPTOMETRY in VA

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Provider Addresses for RANDY A BIRT (OD)

  • 1701, Euclid Avenue, Westfield, Bristol, Bristol City, Virginia, 24201, United States

    BRISTOL, VA 242013700

    Phone: (276) 466-4227

    Fax: (276) 466-3937

    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 13 Open Payments records for all available years, with a total value of $590.

Total Amount is formed as General ($590) + Research ($0) + Ownership ($0) = $590.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($180).

Total Amount

$590

General + Research + Ownership

Payments

13

Total payment records

General Amount

$590

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2017-12-19

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
I20171219000266IOptometryTNTBD

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
92014Established patient complete exam of visual system994938$0
92285Photography of content of eyes824775$0
92250Photography of the retina557532$0
92012Established patient problem focused exam of visual system211164$0
92134Imaging of retina114110$0
View full utilization report →

Insurance plans in this area (ZIP 24201)

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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: 4284604596View full group profile
NameSpecialtyState
O P H T H A L M O L O G YTN
O P H T H A L M O L O G YTN
-TN
O P T O M E T R YIN
O P H T H A L M O L O G YTN
O P H T H A L M O L O G YTN

Reviews

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Frequently asked questions

Can I verify RANDY A BIRT (OD) with an NPI only?
You can start verification with NPI 1649240656 for RANDY A BIRT (OD), then check state licensing separately.
Does CMS list RANDY A BIRT (OD) as active?
Yes — RANDY A BIRT (OD) is active in the NPI listing used on this page.
What taxonomy line describes RANDY A BIRT (OD)?
For research purposes, treat RANDY A BIRT (OD) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where is RANDY A BIRT (OD) based?
RANDY A BIRT (OD) is tied to Bristol, Virginia 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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