Individual provider Active NPI

Nereida J Ragazzoni, OD

  • Optometrist
  • Trussville, AL
National Provider Identifier
1427601285
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-E29-TA-B63 Issued in AL
Practice address
129 N Chalkville Rd
Trussville, AL 35173-1376
Phone
(205) 445-2020
NPI assigned
Jul 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-E29-TA-B63 AL Primary

Addresses

Primary practice location

129 N Chalkville Rd
Trussville, AL 35173-1376

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970

Other names 1

  • Nereida Lucero Jimenez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20200921000645 AL Practitioner - Optometry 3274951421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Alabama LLC 30 clinicians

Practice addresses (Care Compare)

322 Main St
Trussville, AL 35173-1425
Phone (205) 900-7905

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-E29-TA-B63ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Alabama LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Alabama, LLC Optometrist CurrentSince Oct 12, 2020 Accepting new patients
Myeyedr Optometry of Alabama, LLC Optometrist CurrentSince Oct 12, 2020 Accepting new patients
Schaeffer Eye Center, Inc. Optometrist Past Accepting new patients
Myeyedr Optometry of Alabama LLC Optometrist Past Accepting new patients

Locations

2250 Bessemer Rd
Birmingham, AL 35208
Phone (205) 787-4608

2019 Highland Ave S
Birmingham, AL 35205
Phone (205) 328-2020

3431 Colonnade Pkwy
Ste 100
Birmingham, AL 35243
Phone (205) 967-2020

4647 Highway 280
Ste C
Birmingham, AL 35242
Phone (205) 715-2020

2100 Bessemer Rd
Birmingham, AL 35208
Phone (205) 655-4838

195 Highway 304
Calera, AL 35040
Phone (205) 668-7920

700 7th St S
Clanton, AL 35045
Phone (205) 280-0034

1686 Montgomery Hwy
Hoover, AL 35216
Phone (205) 900-3746

2737 Highway 280 S
Ste 191
Mountain Brk, AL 35223
Phone (205) 802-2020

2617 Pelham Pkwy
Pelham, AL 35124
Phone (205) 664-1575

133 N Chalkville Rd
Trussville, AL 35173
Phone (205) 588-6527

322 Main St
Trussville, AL 35173
Phone (205) 445-2020

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1427601285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N CHALKVILLE RD",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351731376",
            "telephone_number": "205-445-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGAZZONI",
        "first_name": "NEREIDA",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-E29-TA-B63",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEREIDA",
            "last_name": "JIMENEZ",
            "middle_name": "LUCERO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Trussville, AL

Sources for this page

Verify at the official NPI Registry.