Individual provider Active NPI

Katherine Cragon Randolph, OD

  • Optometrist
  • Huntsville, AL
National Provider Identifier
1336557222
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
R-373-TA-E09 Issued in AL
Practice address
3501 Memorial Pkwy SW Ste 200
Huntsville, AL 35801-6901
Phone
(256) 533-0315
NPI assigned
Jul 24, 2014
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X R-373-TA-E09 AL Primary
Optometrist 152W00000X 957 MS

Addresses

Primary practice location

3501 Memorial Pkwy SW Ste 200
Huntsville, AL 35801-6901

Mailing address

3501 Memorial Pkwy SW Ste 200
Huntsville, AL 35801-6901
Phone (256) 533-0315

Other practice location 1

130 W Van Dorn Ave
Holly Springs, MS 38635
Phone (662) 252-3323

Other practice location 2

9995 Jones Bridge Rd
Alpharetta, GA 30022-6519
Phone (770) 475-1242

Other practice location 3

102 Micah Way Ste 1100
Scottsboro, AL 35769-4161
Phone (256) 533-0315

Other practice location 4

2415 Helton Dr Ste A
Florence, AL 35630-1023
Phone (256) 533-0315

Other identifiers 1

IdentifierTypeStateIssuer
05500018MedicaidMS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210421001585 TN Practitioner - Optometry 7113149287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Mac2 PLLCGroup PAC ID 9537424387, 4 clinicians

Practice addresses (Care Compare)

4617 Fort Henry Dr
Kingsport, TN 37663-2616
Phone (423) 239-5491

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3667TNMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mac2, PLLC CurrentSince Apr 7, 2021 Accepting new patients

Locations

4617 Fort Henry Dr
Kingsport, TN 37663
Phone (423) 239-5491

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1336557222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 MEMORIAL PKWY SW STE 200",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016901",
            "telephone_number": "256-533-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 MEMORIAL PKWY SW STE 200",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016901",
            "telephone_number": "256-533-0315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 W Van Dorn Ave",
            "address_purpose": "LOCATION",
            "city": "Holly Springs",
            "state": "MS",
            "postal_code": "38635",
            "country_code": "US",
            "telephone_number": "662-252-3323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9995 Jones Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300226519",
            "country_code": "US",
            "telephone_number": "770-475-1242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Micah Way Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Scottsboro",
            "state": "AL",
            "postal_code": "357694161",
            "country_code": "US",
            "telephone_number": "256-533-0315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2415 Helton Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AL",
            "postal_code": "356301023",
            "country_code": "US",
            "telephone_number": "256-533-0315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "KATHERINE",
        "middle_name": "CRAGON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R-373-TA-E09",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "957",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05500018",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.