RANDAL J RABON (NPI# 1487612453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487612453 |
| Entity Type | Individual |
| Full Name | RANDAL J RABON |
| Credential | M.D. |
| Practice Address |
110 Med Tech Pkwy Suite 1 Johnson City TN 37604-4004 |
| Practice Telephone | 4239292111 |
| Practice Fax Number | 4239290497 |
| Mailing Telephone | 4239292111 |
| Mailing Fax Number | 4239290497 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2009-12-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MD17603 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | PALMETTO RAILROAD MEDICAR | 180043453 | 01 |
| TN | PALMETTO RAILROAD MEDICAR | 180036693 | 01 |
| TN | 3023756 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093199192 | Randal J Rabon II | Optometrist | 114 W Main St, Mountain City, TN 37683-1308 | 2015-07-17 |
| Street Address |
110 MED TECH PKWY SUITE 1 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-4004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962473587 | James E Kuziel | Registered Nurse | 110 Med Tech Pkwy, Johnson City, TN 37604-4004 | 2006-01-31 |
| 1811382393 | Lauren Callon Rushing | Ophthalmology | 110 Med Tech Pkwy, Johnson City, TN 37604-4004 | 2015-04-01 |
| 1104081918 | Jennifer Oakley | Ophthalmology | 110 Med Tech Pkwy, Suite 1, Johnson City, TN 37604-4004 | 2008-07-21 |
| 1407957160 | James W Battle IIi | Ophthalmology | 110 Med Tech Pkwy, Suite 1, Johnson City, TN 37604-4004 | 2006-09-26 |
| 1720012701 | Johnson City Eye Surgery Center | Clinic/Center | 110 Med Tech Pkwy, Suite 2, Johnson City, TN 37604-4004 | 2006-07-10 |
| 1396777462 | Calvin L Miller | Ophthalmology | 110 Med Tech Pkwy, Johnson City, TN 37604-4004 | 2006-07-07 |
| 1538196829 | Smokey Mountain Anesthesia PC | Registered Nurse | 110 Med Tech Pkwy, Johnson City, TN 37604-4004 | 2006-06-26 |
| 1700827961 | Johnson City Eye Clinic PC | Ophthalmology | 110 Med Tech Pkwy, Suite 1, Johnson City, TN 37604-4004 | 2006-06-09 |
| 1265480842 | Michael Farzin Shahbazi | Ophthalmology | 110 Med Tech Pkwy, Suite 1, Johnson City, TN 37604-4004 | 2006-05-05 |
| 1285682831 | Alan N Mccartt | Ophthalmology | 110 Med Tech Pkwy, Suite 1, Johnson City, TN 37604-4004 | 2006-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184105272 | Blue Ridge Medical Management Corporation | Ophthalmology | 410 N State of Franklin Rd Ste 130b, Johnson City, TN 37604-6972 | 2018-08-27 |
| 1447535620 | Robert Leal Clark | Ophthalmology | 901 Forest Ave., Johnson City, TN 37601 | 2011-10-19 |
| 1164530853 | Charles Rubin | Ophthalmology | 95 Riverside Dr, Johnson City, NY 13790-2720 | 2006-08-25 |
| 1306893169 | Ophthalmic Associates of The | Ophthalmology | 48 Harrison St, Johnson City, NY 13790 | 2006-05-27 |
| 1811382393 | Lauren Callon Rushing | Ophthalmology | 110 Med Tech Pkwy, Johnson City, TN 37604-4004 | 2015-04-01 |
| 1306115423 | The Reeves Eye Institute | Ophthalmology | 2328 Knob Creek Rd, Suite 506, Johnson City, TN 37604-2584 | 2011-12-19 |
| 1760611016 | Geremie Palombaro | Ophthalmology | 48 Harrison Street, Johnson City, NY 13790 | 2009-07-08 |
| 1104081918 | Jennifer Oakley | Ophthalmology | 110 Med Tech Pkwy, Suite 1, Johnson City, TN 37604-4004 | 2008-07-21 |
| 1407957160 | James W Battle IIi | Ophthalmology | 110 Med Tech Pkwy, Suite 1, Johnson City, TN 37604-4004 | 2006-09-26 |
| 1396777462 | Calvin L Miller | Ophthalmology | 110 Med Tech Pkwy, Johnson City, TN 37604-4004 | 2006-07-07 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.