DR. KATHERINE CRAGON RANDOLPH (NPI# 1336557222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336557222 |
| Entity Type | Individual |
| Full Name | DR. KATHERINE CRAGON RANDOLPH |
| Credential | OD |
| Practice Address |
130 W Van Dorn Ave Holly Springs MS 38635 |
| Mailing Address |
136 Oxmoor Rdg Oxford MS 38655-6033 |
| Practice Telephone | 6622523323 |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2018-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 957 | MS | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 05500018 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9995 Jones Bridge Rd, Alpharetta, GA 300226519 | 7704751242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972130607 | Katherine Letha Randolph | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1740451376 | Katherine M Randolph | Counselor | 700 Niehoff Dr, Eureka, MO 63025-2166 | 2008-03-24 |
| 1700901881 | Katherine G Randolph | Specialist | 4801 Swift Rd, Suite I, Sarasota, FL 34231-5139 | 2007-03-20 |
| Street Address |
130 W VAN DORN AVE |
| City | HOLLY SPRINGS |
| State | MS |
| Zip Code | 38635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336247816 | Eric Dale Randle | Optometrist | 130 W Van Dorn Ave, Holly Springs, MS 38635-2902 | 2006-09-20 |
| 1376188391 | Heartland Family Medical | Nurse Practitioner | 130 W Van Dorn Ave, Holly Springs, MS 38635-2902 | 2019-11-13 |
| 1760921696 | Tracy A. Scott | Nurse Practitioner | 130 W Van Dorn Ave, Holly Springs, MS 38635-2902 | 2017-02-13 |
| 1356430987 | Holly Springs Eyecare Pllc | Optometrist | 130 W Van Dorn Ave, Holly Springs, MS 38635-2902 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123442 | Anointed Caregiver LLC | In Home Supportive Care | 585 Stewart Street, Holly Springs, MS 38635 | 2020-10-27 |
| 1841823515 | Jordan Marquis Anderson | Counselor | 694 Hwy #4 E, Holly Springs, MS 38635 | 2020-02-20 |
| 1073151684 | Robyn Black Caldwell | Nurse Practitioner | 550 South Craft Street, Holly Springs, MS 38635 | 2019-12-13 |
| 1750922209 | Paul Franklin Nixon | Nurse Practitioner | 550 S Craft Street, Holly Springs, MS 38635 | 2019-10-07 |
| 1629596804 | Ortho Express Holding Company, LLC | Orthopaedic Surgery | 173a Whaley Dr, Ste B, Holly Springs, MS 38635 | 2017-09-07 |
| 1306047436 | Alliance Healthcare System | General Acute Care Hospital | 1430 Hwy4-east, Holly Springs, MS 38635 | 2007-05-29 |
| 1518168624 | Alliance Healthcare System | General Acute Care Hospital | 1430 Hwy 4 East, Holly Springs, MS 38635 | 2007-05-29 |
| 1437373164 | Curl & Clark LLC | Clinic/Center | 153a South Market Street, Holly Springs, MS 38635 | 2007-04-12 |
| 1912047747 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | 439 Craft Street, Suite B, Holly Springs, MS 38635 | 2007-02-08 |
| 1467561233 | Brooks V Monaghan Jr. | Surgery | 226 Bethlehem St, Holly Springs, MS 38635 | 2006-08-29 |
| Find all providers in zip 38635 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386047561 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 173 Grand Hill Pl, Holly Springs, NC 27540-4415 | 2014-10-02 |
| 1043528060 | Brandon Lynn Weyand | Optometrist | 173 Grand Hill Place, Holly Springs, NC 27540 | 2010-09-24 |
| 1003148727 | Rs Eye Care, Od, Pa | Optometrist | 5237 Sunset Lake Road, Holly Springs, NC 27540 | 2010-02-04 |
| 1336247816 | Eric Dale Randle | Optometrist | 130 W Van Dorn Ave, Holly Springs, MS 38635-2902 | 2006-09-20 |
| 1053349803 | Adam B Bryan | Optometrist | 316 Village Walk Drive, Holly Springs, NC 27540-7683 | 2006-06-29 |
| 1144262940 | Kristy Lynn Tart-bryan | Optometrist | 316 Village Walk Dr, Holly Springs, NC 27540-7683 | 2006-06-13 |
| 1104826528 | Phillip M Vito | Optometrist | 608 Holly Springs Rd, Holly Springs, NC 27540-9030 | 2005-07-28 |
| 1760878631 | Rebecca N Garces | Optometrist | 173 Grand Hill Pl, Holly Springs, NC 27540-4415 | 2015-04-08 |
| 1053650820 | Eye Care Associates Od Pa | Optometrist | 173 Grand Hill Place, Holly Springs, NC 27540 | 2013-02-13 |
| 1598999856 | Carolina Family Vision, Od Pa | Optometrist | 316 Village Walk Dr, Holly Springs, NC 27540 | 2009-05-14 |
| Find all providers in HOLLY SPRINGS | ||||
| City | HOLLY SPRINGS |
| Zip Code | 38635 |
Please comment or provide details below to improve the information on DR. KATHERINE CRAGON RANDOLPH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.