Atlas PLLC
NPI 1760951107ActiveOrganization· Optometrist· Rapid City, SD
Optometrist in Rapid City, South Dakota, registered in NPPES in November 2018. The authorized official on file is Antwan Percy Randolph, OD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1760951107 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 14, 2018 |
| Last updated in NPPES | Mar 16, 2022 |
| Certified by provider | Mar 16, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
| Optometrist, Vision Therapy | 152WV0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (SD) |
|---|
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