Randal J Rabon II, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD3261 Issued in TN

Practice address

114 W Main St
Mountain City, TN 37683-1308

Phone

(423) 460-1567

Fax

(423) 460-1645

NPI assigned

Jul 17, 2015

Last updated

Mar 21, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Randal J Rabon II Professional name

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• RJR Properties, PLLC

  dba Erwin Eye Care

  • Optometrist
  • Erwin, TN
  • NPI 1558925586
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1093199192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N MAIN AVE STE 2",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376501393",
            "telephone_number": "423-743-3128",
            "fax_number": "423-743-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W MAIN ST",
            "city": "MOUNTAIN CITY",
            "state": "TN",
            "postal_code": "376831308",
            "telephone_number": "423-460-1567",
            "fax_number": "423-460-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABON",
        "first_name": "RANDAL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-17",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD3261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDAL",
            "last_name": "RABON",
            "middle_name": "J",
            "prefix": "DR.",
            "suffix": "II",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jennifer Lynn Phillippi, BS
• Penelope Dawn Plante, NURSE PRACTITIONER
• Rachel A Poteet, LCSW
• Dorothy M Proffitt, RPH
• Adam Michael Qualls, DMD
• Joe A Ray, DDS
• Harry S. Reece, DPH
• Amanda K Reichenbach, FNP
• Elizabeth Ann Rhymer
• Jordan Robertson, PHARMD

• Optometrist in Mountain City, TN
• Providers in Mountain City, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.