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

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 and National Provider Directory roles.

• RJR Properties, PLLC

  • 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.