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Export Provider Record NPI 1104898162
Randall T Parrish Jr Od Pa
Organization Subpart: NO
Active
NPI Number1104898162
NPI TypeNPI-2 Organization
SpecialtyOptometrist
Provider Details
NPI1104898162
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-02-03
Last Updated2022-07-13
Authorized OfficialRandall Parrish
Owner
Phone: 8636750761
Mailing Address100 N Main St
Labelle, FL 33935-7000
United States
Phone: (863) 675-0761 | Fax: (863) 675-3518
📍 View Map
Primary Practice Address100 N Main St
Labelle, FL 33935-7000
United States
Phone: (863) 675-0761 | Fax: (863) 675-3518
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDFL078861900
Other (non-Medicare)FL99715Blue Cross Blue Shield
Other (non-Medicare)=========Commercial Insurance
Other (non-Medicare)=========TriCare
Other (non-Medicare)CF9406Railroad
Other (non-Medicare)FLOPC 1494Cigna
Other (non-Medicare)FLOPC1494United Healthcare
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes152W00000X – Optometrist
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About NPI 1104898162

Randall T Parrish Jr Od Pa is an organization registered in the CMS NPPES NPI Registry with NPI number 1104898162. The primary specialty listed is Optometrist. The organization is located in Labelle, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-02-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1104898162?

NPI 1104898162 belongs to Randall T Parrish Jr Od Pa, a Optometrist in Labelle, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1104898162 active?

The current status of NPI 1104898162 in the NPPES registry is Active. The record was last updated on 2022-07-13.

What specialty is NPI 1104898162?

NPI 1104898162 is classified under the taxonomy Optometrist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1104898162?

You can verify NPI 1104898162 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1104898162?

The primary practice address on file for NPI 1104898162 is 100 N Main St, Labelle, FL 33935-7000. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1104898162 issued?

NPI 1104898162 was first issued (enumerated) on 2006-02-03. The NPPES record was last updated on 2022-07-13.

Practice Location Map

Randall T Parrish Jr Od Pa is located at 100 N Main St, Labelle, FL. Use the map below to find directions or verify the practice location.

📍 100 N Main St, Labelle, FL 33935-7000  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Randall T Parrish Jr Od Pa. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-06-26 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162