Active NPI
Renee T Abrassant Ramsey
- Optometrist
- Petersburg, IN
National Provider Identifier
1417048281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18002013 B
- Practice address
- 601 E Main St
Petersburg, IN 47567-1247 - Phone
- (812) 354-3331
- Fax
- (812) 354-3331
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18002013 B | IN | Primary |
Addresses
Primary practice location
601 E Main St
Petersburg, IN 47567-1247
Mailing address
PO Box 205
Petersburg, IN 47567
Phone (812) 354-3331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100154830A | Medicaid | IN |
Other names 1
- Renee T Ramsey
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18002013 B | IN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449446400000",
"number": "1417048281",
"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": "47567",
"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": "601 E MAIN ST",
"city": "PETERSBURG",
"state": "IN",
"postal_code": "475671247",
"telephone_number": "812-354-3331",
"fax_number": "812-354-3331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRASSANT RAMSEY",
"first_name": "RENEE",
"middle_name": "T",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2015-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18002013 B",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100154830A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RENEE",
"last_name": "RAMSEY",
"middle_name": "T",
"code": "5",
"type": "Other Name"
}
]
}
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 Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.