Active NPI
Katherine Cragon Randolph, OD
- Optometrist
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- R-373-TA-E09
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05500018 | Medicaid | MS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4617 Fort Henry Dr
Kingsport, TN 37663-2616
Phone (423) 239-5491
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3667 | TN | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mac2, PLLC | Current | 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.
-
dba McMillin Eyecare
- Durable Medical Equipment & Medical Supplies
- Kingsport, TN
- NPI 1457522237
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.