1. Home
  2. Directory
  3. Mississippi
  4. Holly Springs
  5. Optometrist
  6. NPI Profile

DR. KATHERINE CRAGON RANDOLPH OD
NPI 1336557222
Optometrist in Holly Springs, MS

Active since July 24, 2014PECOS Enrolled
130 W VAN DORN AVE, HOLLY SPRINGS, MS 38635(662) 252-3323 Get Directions Write a Review

NPPES record last updated: August 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Katherine Cragon Randolph Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATHERINE CRAGON RANDOLPH OD (NPI 1336557222) is an individual optometrist in Holly Springs, Mississippi, licensed in Mississippi (957) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Alpharetta, and is a graduate of University Alabama Birmingham - School Of Optometry (2014).

NPPES Registry Identity

NPI1336557222
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KATHERINE CRAGON RANDOLPHCredential: OD
Location Address130 W VAN DORN AVEHolly Springs, MS 38635
Mailing Address136 Oxmoor RdgOxford, MS 38655-6033
Phone(662) 252-3323
Sole ProprietorNo
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 2014
Enumeration DateJuly 24, 2014
Last NPPES UpdateAugust 27, 2018
✔ NPI 1336557222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MS · 957
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
130 W VAN DORN AVE, Holly Springs, MS 38635
Open in Google Maps ↗

Secondary Practice Location 1

Location 19995 Jones Bridge RdAlpharetta, GA 30022-6519 · Phone (770) 475-1242

Other Identifiers 1

Medicaid05500018MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Katherine Cragon Randolph Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113149287
PECOS Enrollment IDI20210421001585
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
177 services175 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
60 services43 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
54 services52 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
53 services42 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
25 services22 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38635 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JERRY D WILLIAMS II FNP-C
Nurse Practitioner (Family)
130 W VAN DORN AVE
HOLLY SPRINGS, MS 38635
Marshall County (662) 274-3212
HOLLY SPRINGS EYECARE PLLC
Optometrist
130 W VAN DORN AVE
HOLLY SPRINGS, MS 38635
Marshall County (662) 252-3323
HEARTLAND FAMILY MEDICAL
Nurse Practitioner (Family)
130 W VAN DORN AVE
HOLLY SPRINGS, MS 38635
Marshall County (662) 274-3212
HOLLY SPRINGS FAMILY MEDICAL LLC
Nurse Practitioner (Family)
130 W VAN DORN AVE
HOLLY SPRINGS, MS 38635
Marshall County (662) 274-3212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Randolph's NPI number?

The NPI number for Katherine Randolph is 1336557222. It was assigned to this individual provider in the NPPES registry on July 24, 2014.

Where is Katherine Randolph located?

Katherine Randolph practices at 130 W Van Dorn Ave, Holly Springs, MS 38635. The listed phone number is (662) 252-3323.

What is Katherine Randolph's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Katherine Randolph enrolled in Medicare?

Yes. Katherine Randolph is registered in the Medicare PECOS enrollment system.

What insurance does Katherine Randolph accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and Providence Health Plan and 1 other insurer list Katherine Randolph as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katherine Randolph was last updated on August 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.