Doctor profile · Federal record

Dr. Antwan Randolph, O.D.

Optometrist (CMS: Optometry) · Optometrist · Optometrist · Vision Therapy Optometrist · Spearfish, SD

  • NPI 1568798841
  • Accepts Medicare
  • 18 yrs in practice
  • Licensed in 3 states
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
2549 Yukon Pl
Spearfish, SD 577838531
(605) 549-1212
fax (605) 549-1313
Mailing address
149 Timberline RD
Spearfish, SD 577839642

Credentials & registration

NPPES · NUCC
NPI registered
October 2009 — 17 yrs on file
Profile last updated
September 15, 2021
Year of graduation
2008 — 18 yrs since
Specialty taxonomy
152W00000X — NUCC code
State licenses (3)
South Dakota #748 · Missouri #2010002259 · Tennessee #2911

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1568798841. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
239
Distinct HCPCS
4
Medicare allowed
$24,729
HCPCS Description Services Patients Avg allowed
92004 New patient complete exam of visual system 87 87 $148
92250 Photography of the retina 80 67 $37
92014 Established patient complete exam of visual system 48 47 $125
99214 Established patient office or other outpatient visit, 30-39 minutes 24 20 $124

In context: peer comparison

Among 5 peers in this city , average services per provider: 80. This provider delivers 3.0× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
22
Patients
0
Total drug cost
$131
Drug Type Claims Patients Total cost
Latanoprost Generic 22 0 $131

Frequently asked questions

Auto-generated from federal data
What is Dr. Antwan Randolph's medical specialty?
Dr. Antwan Randolph practices Optometrist in Spearfish, SD.
Where does Dr. Antwan Randolph practice?
Dr. Antwan Randolph practices at 2549 Yukon Pl, Spearfish, SD 577838531. Office phone: 6055491212.
What is Dr. Antwan Randolph's NPI?
Dr. Antwan Randolph's National Provider Identifier (NPI) is 1568798841, issued by NPPES.
Does Dr. Antwan Randolph accept Medicare assignment?
Yes. Dr. Antwan Randolph accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Antwan Randolph commonly perform?
Top Medicare-reported procedures in 2023: New patient complete exam of visual system (HCPCS 92004); Photography of the retina (HCPCS 92250); Established patient complete exam of visual system (HCPCS 92014). Source: CMS Medicare Physician & Other Practitioners file.