James Randall McKissick II, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-D39 Issued in AL

Practice address

280 W Main St
Centre, AL 35960-1326

Phone

(256) 927-4030

Fax

(256) 927-2586

NPI assigned

Jun 8, 2015

Last updated

Mar 22, 2021By 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

Medicare fee-for-service enrollment

Enrolled in AL

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

University Alabama Birmingham - School of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Insight Eye Care LLCGroup PAC ID 4981992120, 2 clinicians

Cherokee Eye Clinic Co IncGroup PAC ID 5092126276, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Cherokee Eye Clinic Co, Inc

  • Optometrist
  • Centre, AL
  • NPI 1265040273
  Medicare reassignment Care Compare group NPD Authorized official
• Insight Eye Care, LLC

  • Optometrist
  • Fort Payne, AL
  • NPI 1720430275
  Medicare reassignment Care Compare group NPD
• Harbin Clinic, LLC

  dba Harbin Clinic

  • Multi-Specialty Clinic/Center
  • Rome, GA
  • NPI 1679599088
  NPD (past)

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1669852356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 W MAIN ST",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "359601326",
            "telephone_number": "256-927-4030",
            "fax_number": "256-927-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 W MAIN ST",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "359601326",
            "telephone_number": "256-927-4030",
            "fax_number": "256-927-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKISSICK",
        "first_name": "JAMES",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-08",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-D39",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M. Kirk Keener, D.C.
• Aimee Kilgo
• James Christian Lamousin, MD
• Valerie Sanchez Leonard, CRNP
• Mark A McClendon, DMD
• Larry Mitchell, MD
• Jennings Kelsey Moody, PT, DPT
• Morgan Medical, LLC.
• MP Home Health Services (As Close As Family of Cherokee and Etowah County)
• Dwayne Avanish Narayan, MD

• Optometrist in Centre, AL
• Providers in Centre, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.