Active NPI
Randy James Cammack, LDO
- Optician
- Eastman, GA
National Provider Identifier
1083574917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- LDO002679
- Practice address
- 1099 Indian Dr
Eastman, GA 31023-7663 - Phone
- (478) 374-3134
- NPI assigned
- Nov 13, 2025
- Last updated
- Nov 13, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | LDO002679 | GA | Primary |
Addresses
Primary practice location
1099 Indian Dr
Eastman, GA 31023-7663
Mailing address
PO Box 649
Mount Vernon, GA 30445-0649
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDO002679 | GA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1083574917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 649",
"city": "MOUNT VERNON",
"state": "GA",
"postal_code": "304450649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1099 INDIAN DR",
"city": "EASTMAN",
"state": "GA",
"postal_code": "310237663",
"telephone_number": "478-374-3134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMMACK",
"first_name": "RANDY",
"middle_name": "JAMES",
"credential": "LDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-13",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "GA",
"license": "LDO002679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eastman, GA
- Candace H Brown, NP-C
- Jennifer Elizabeth Brown
- Pamela Lynn Brown, FNP-C
- Kristen Nicole Bryant, NP-C
- Ashley Nichole Butler
- Careconnect Health, Inc. (CareConnect Convenient Care and Pediatrics)
- Robert Todd Carey, LP,CP
- Clark M Carroll, DMD,PC
- Chandler Womens Health Center
- Zachary Bryan Chaney, MSN, APRN, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.