Organization Active NPI

Renee Abrassart Ramsey

  • Optometrist
  • Petersburg, IN
National Provider Identifier
1174700876
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
RENEE ABRASSART RAMSEY
Practice address
102 S 2ND St
Petersburg, IN 47567
Phone
(812) 354-3331
Fax
(812) 354-3331
NPI assigned
Jan 24, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Renee Abrassart Ramsey, OD
Title
OD Owner
Phone
(812) 354-3331

National Provider Directory

National Provider Directory

Locations

102 S 2nd St
Petersburg, IN 47567
Phone (812) 354-3331

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

102 S 2ND St
Petersburg, IN 47567

Mailing address

PO Box 205
Petersburg, IN 47567-0205
Phone (812) 354-3331

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
100154830AMedicaidIN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 24, 2008.

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1174700876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 205",
            "city": "PETERSBURG",
            "state": "IN",
            "postal_code": "475670205",
            "telephone_number": "812-354-3331",
            "fax_number": "812-354-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S 2ND ST",
            "city": "PETERSBURG",
            "state": "IN",
            "postal_code": "47567",
            "telephone_number": "812-354-3331",
            "fax_number": "812-354-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE ABRASSART RAMSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "RAMSEY",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "ABRASSART",
        "authorized_official_title_or_position": "OD OWNER",
        "authorized_official_telephone_number": "812-354-3331",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100154830A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.