Individual provider Active NPI

Reagan M Ratcliff, OD

  • Optometrist
  • Friendswood, TX
National Provider Identifier
1538509351
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8148-T Issued in TX
Practice address
105 E Parkwood Ave
Suite 107
Friendswood, TX 77546-5177
Phone
(281) 648-1910
Fax
(281) 648-1929
NPI assigned
Jun 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8148-T TX Primary

Addresses

Primary practice location

105 E Parkwood Ave
Suite 107
Friendswood, TX 77546-5177

Mailing address

105 E Parkwood Ave
Suite 107
Friendswood, TX 77546-5177
Phone (281) 648-1910

Other identifiers 1

IdentifierTypeStateIssuer
8148-TOtherTXOPTOMETRY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20131022001175 TX Practitioner - Optometry 8426283722 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twenty20 Optical PLLCGroup PAC ID 2466687751, 2 clinicians

Practice addresses (Care Compare)

105 E Parkwood Ave
Suite 107
Friendswood, TX 77546-5727
Phone (281) 648-1910

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8148-TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Twenty20 Professional PLLC Optometrist CurrentSince Oct 14, 2020 Accepting new patients
James D. Winter & Associates, P.C. CurrentSince Oct 14, 2020 Accepting new patients

Locations

105 E Parkwood Ave
Ste 107
Friendswood, TX 77546
Phone (281) 648-1910

18333 Egret Bay Blvd
Ste 101
Houston, TX 77058
Phone (281) 488-5169

Organizations & group practices 3

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": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1538509351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E PARKWOOD AVE",
            "address_2": "SUITE 107",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465177",
            "telephone_number": "281-648-1910",
            "fax_number": "281-648-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E PARKWOOD AVE",
            "address_2": "SUITE 107",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465177",
            "telephone_number": "281-648-1910",
            "fax_number": "281-648-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATCLIFF",
        "first_name": "REAGAN",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8148-T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "8148-T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

Verify at the official NPI Registry.