Veronica Ralick, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003290A,B Issued in IN

Practice address

2212 Southlake Mall
Merrillville, IN 46410-6441

Phone

(219) 736-0093

Fax

(219) 736-0396

NPI assigned

Oct 10, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Veronica Molina Former name

Medicare fee-for-service enrollment

Enrolled in IN

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

Indiana University - School of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gailmard Eye Center LLCGroup PAC ID 3577637974, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gailmard Eye Center LLC

  • Optometrist
  • Munster, IN
  • NPI 1982746293

  IN, Optometrist

  Medicare reassignment Care Compare group NPD
• Dr. Jorge a. Benavente Optometrist PC

  • Optometrist
  • Munster, IN
  • NPI 1063740744
  NPD (past)

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289174400000",
    "number": "1285622639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 SOUTHLAKE MALL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106441",
            "telephone_number": "219-736-0093",
            "fax_number": "219-736-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 SOUTHLAKE MALL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106441",
            "telephone_number": "219-736-0093",
            "fax_number": "219-736-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALICK",
        "first_name": "VERONICA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2010-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1459",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003290A,B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERONICA",
            "last_name": "MOLINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John P Rachoy, DPM
• Catina Fionne Radford, CMT
• Amilia Marie Radocaj
• Shirley H Rainford, BA
• Robert Edward Rajewski, PSYD HSPP
• Johannah Ramaker, MA LMHC
• Melissa Yousefi Ramandi, DMD
• Jose Lorenzo Ramirez, MD
• Gina Ramos
• Yasmin Ramos

• All providers in Merrillville, IN
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.