Individual provider Active NPI

Randall Alan Littell, O.D.

  • Optometrist
  • Tracy City, TN
National Provider Identifier
1922193341
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD854 Issued in TN
Practice address
97 St Clair St
Tracy City, TN 37387-1437
Phone
(931) 592-2868
Fax
(931) 592-2875
NPI assigned
Oct 3, 2006
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD854 TN Primary

Addresses

Primary practice location

97 St Clair St
Tracy City, TN 37387-1437

Mailing address

PO Box 849
Tracy City, TN 37387-0849
Phone (931) 592-2868

Other identifiers 3

IdentifierTypeStateIssuer
2240225OtherTNUNITED HEALTHCARE
3595020MedicaidTN
48248OtherTNBCBS NUMBER

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
I20050713000645 TN Practitioner - Optometry 4587690318 Practice locations: Tracy City, TN

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

97 St Clair St
Tracy City, TN 37387-0849
Phone (931) 592-2868

PO Box
Suite 849
Tracy City, TN 37387-0849

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD854TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Manchester Eyecare LLC Optometrist PastSince Aug 28, 2022 Accepting new patients

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1922193341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 849",
            "city": "TRACY CITY",
            "state": "TN",
            "postal_code": "373870849",
            "telephone_number": "931-592-2868",
            "fax_number": "931-592-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 ST CLAIR ST",
            "city": "TRACY CITY",
            "state": "TN",
            "postal_code": "373871437",
            "telephone_number": "931-592-2868",
            "fax_number": "931-592-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTELL",
        "first_name": "RANDALL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2240225",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3595020",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "48248",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy City, TN

Sources for this page

Verify at the official NPI Registry.