Ragsdale & Martin Optical, Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

RAGSDALE & MARTIN OPTICAL, INC

Practice address

2740 S Broadway Ave
Tyler, TX 75701-5412

Phone

(903) 593-8466

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael W Martin

Title

President

Phone

(903) 593-8466

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1356490650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015412",
            "telephone_number": "903-593-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015412",
            "telephone_number": "903-593-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAGSDALE & MARTIN OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-593-8466",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "503851",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caleb Daniel Rackley, LCSW
• Craig Michael Radford, M.D.
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• Alessandro Radighieri, MD
• Raf Med LLC
• Irum Rahman
• Brittany Mason Raines, NP
• Aditya Rajan, MD
• Pamela Rakestraw-Anderson
• Kate Rameden-Tipton, MD

• Eyewear Supplier in Tyler, TX
• Providers in Tyler, TX by specialty
• Eyewear Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.