Active NPI
Reagan M Ratcliff, OD
- Optometrist
- Friendswood, TX
National Provider Identifier
1538509351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8148-T
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8148-T | Other | TX | OPTOMETRY 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
Enrollment records 1
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
Practice addresses (Care Compare)
105 E Parkwood Ave
Suite 107
Friendswood, TX 77546-5727
Phone (281) 648-1910
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8148-T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twenty20 Professional PLLC | Optometrist | Current | Accepting new patients |
| James D. Winter & Associates, P.C. | Current | 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.
-
- Optometrist
- Friendswood, TX
- NPI 1891135612
-
- Optometrist
- Houston, TX
- NPI 1487272308
-
- Vision Therapy Optometrist
- Houston, TX
- NPI 1295903219
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.