Kimberly J Ragan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

727 Issued in MS

Practice address

127 Grandview Dr
Madison, MS 39110-7595

Phone

(601) 853-7640

Fax

(601) 853-7614

NPI assigned

Sep 20, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Optometry

Education

Southern College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ragan Family Eye Care, LLCGroup PAC ID 2466555446, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.ragan.1@20428.direct.athenahealth.com

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.

• Ragan Family Eye Care, LLC

  • Optometrist
  • Madison, MS
  • NPI 1659463495
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1225024862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2150",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391302150",
            "telephone_number": "601-853-7640",
            "fax_number": "601-853-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 GRANDVIEW DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107595",
            "telephone_number": "601-853-7640",
            "fax_number": "601-853-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGAN",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04473866",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quad Intermed Company LLC (MEA Medical Clinic)
• Quad Intermed Company LLC
• Quad Intermed Company LLC (MEA Medical Clinics)
• Daniel Quon, D.M.D.
• Ragan Family Eye Care, LLC
• Lina Elizabeth Raley
• Tho Thi Raley
• Chrona Janett Tasneem Ramey, BCBA-D, LBA, EDD
• Alexandria Marie Randolph, OT
• Ray Family Chiropractic

• Optometrist in Madison, MS
• Providers in Madison, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.