Individual provider Active NPI

Renee T Abrassant Ramsey

  • Optometrist
  • Petersburg, IN
National Provider Identifier
1417048281
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002013 B Issued in IN
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

Updated by the provider on Dec 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100154830AMedicaidIN

Other names 1

  • Renee T Ramsey Other name

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
18002013 BINMDOptometrist

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.

Verify at the official NPI Registry.