Active NPI
Mark Stephen Ragsdale, O.D.
- Optometrist
- Denton, TX
National Provider Identifier
1114934957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 02872T
- Practice address
- 526 N Locust St
Denton, TX 76201-4128 - Phone
- (940) 387-9595
- Fax
- (940) 387-0605
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 02872T | TX | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 02872T | TX | |
| Pediatric Optometrist | 152WP0200X | 02872T | TX | |
| Sports Vision Optometrist | 152WS0006X | 02872T | TX | |
| Occupational Vision Optometrist | 152WX0102X | 02872T | TX |
Addresses
Primary practice location
526 N Locust St
Denton, TX 76201-4128
Mailing address
526 N Locust St
Denton, TX 76201-4128
Phone (940) 387-9595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0201816-02 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2872 | TX | MD | Chiropractor |
| 02872T | TX | MD | Corneal and Contact Management Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240272000000",
"number": "1114934957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "526 N LOCUST ST",
"city": "DENTON",
"state": "TX",
"postal_code": "762014128",
"telephone_number": "940-387-9595",
"fax_number": "940-387-0605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "526 N LOCUST ST",
"city": "DENTON",
"state": "TX",
"postal_code": "762014128",
"telephone_number": "940-387-9595",
"fax_number": "940-387-0605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAGSDALE",
"first_name": "MARK",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2009-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "02872T",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "TX",
"license": "02872T",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "TX",
"license": "02872T",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "TX",
"license": "02872T",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "TX",
"license": "02872T",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0201816-02",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.