Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Antwan Percy Randolph, OD

Individual provider Optometrist · NPI 1568798841

Dr. Antwan Percy Randolph, OD is an Optometry in Spearfish, South Dakota. Graduated from Indiana University - School of Optometry in 2008, 18 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Missouri, South Dakota and Tennessee.

Years since qualifying
18
Trained at
Indiana University - School of Optometry
Licensed in
MO, SD, TN
In the registry since
2009
Specialties on file
4
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2549 Yukon Pl
Spearfish, SD 57783-8531
Phone: (605) 549-1212
Fax: (605) 549-1313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 748 (SD)
Optometrist Taxonomy 152W00000X · Licence 2010002259 (MO)
Optometrist Taxonomy 152W00000X · Licence 2911 (TN)
Vision Therapy Optometrist Taxonomy 152WV0400X · Licence 748 (SD)

Record details

NPI number1568798841
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedOctober 21, 2009
Last updated in NPPESSeptember 15, 2021
Certification dateSeptember 15, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolINDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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