Individual provider Active NPI

Katherine Ann McCracken, OD

  • Optometrist
  • Land O' Lakes, FL
National Provider Identifier
1639731185
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9780T Issued in TX
Practice address
21517 Village Lakes Shopping Ctr Dr
Land O Lakes, FL 34639-5101
Phone
(813) 949-0421
Fax
(813) 948-0351
NPI assigned
Jul 5, 2019
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9780T TX Primary

Addresses

Primary practice location

21517 Village Lakes Shopping Ctr Dr
Land O Lakes, FL 34639-5101

Mailing address

411 Concord Dr
Clinton, MS 39056-5703
Phone (601) 918-8367

Other practice location 1

2703 Richmond Rd
Texarkana, TX 75503-2328
Phone (903) 838-0783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20191001001190 AR Practitioner - Optometry 9436489663 Reassigns benefits to 1 organization
I20191216001049 TX Practitioner - Optometry 9436489663 Reassigns benefits to 1 organization
I20210702000979 FL Practitioner - Optometry 9436489663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Florida, LLCGroup PAC ID 0143541037, 141 clinicians

Practice addresses (Care Compare)

36021 US Hwy 19 N
Palm Harbor, FL 34684-1531
Phone (727) 772-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9780TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist CurrentSince Oct 31, 2019 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Aug 2, 2021 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Jul 29, 2019 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Aug 2, 2021 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Jul 29, 2019 Accepting new patients

Locations

2510 N Hervey St
#E
Hope, AR 71801
Phone (870) 722-2200

114 E 49th St
Texarkana, AR 71854
Phone (870) 774-2020

2643 Gulf To Bay Blvd
Ste 1520
Clearwater, FL 33759
Phone (727) 799-3937

2140 Crawfordville Hwy
Crawfordville, FL 32327
Phone (850) 926-9213

21517 Village Lakes Shopping Ctr Dr
Land O Lakes, FL 34639
Phone (813) 949-0421

36021 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 772-1000

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 893-4005

3040 W Bearss Ave
Tampa, FL 33618
Phone (813) 264-2020

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Networks

  • Freedom Health HMO Network

Organizations & group practices 8

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": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1639731185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 CONCORD DR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565703",
            "telephone_number": "601-918-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21517 VILLAGE LAKES SHOPPING CTR DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346395101",
            "telephone_number": "813-949-0421",
            "fax_number": "813-948-0351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2703 Richmond Rd",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755032328",
            "country_code": "US",
            "telephone_number": "903-838-0783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCRACKEN",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-05",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9780T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O' Lakes, FL

Sources for this page

Verify at the official NPI Registry.