Individual provider Active NPI

Cynthia Jane Ragland, OD

  • Optometrist
  • Marshalltown, IA
National Provider Identifier
1629069828
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02106 Issued in IA
Practice address
236 N 13TH St
Marshalltown, IA 50158
Phone
(641) 352-3544
Fax
(641) 752-3547
NPI assigned
Nov 4, 2005
Reactivated
May 29, 2018
Last updated
May 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 02106 IA Primary

Addresses

Primary practice location

236 N 13TH St
Marshalltown, IA 50158

Mailing address

236 N 13TH St
Marshalltown, IA 50158-5498
Phone (641) 352-3544

Other identifiers 1

IdentifierTypeStateIssuer
0173096MedicaidIA

Other names 1

  • Cynthia Jane Bauer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20071207000466 IA Practitioner - Optometry 7315036746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

236 N 13TH St
Marshalltown, IA 50158-5498
Phone (641) 352-3544

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McFarland Clinic PC Current Accepting new patients
C Eye Care, PC Optometrist CurrentSince Feb 2, 2017 Accepting new patients

Locations

1215 Duff Ave
Ames, IA 50010
Phone (515) 239-4400

236 N 13th St
Marshalltown, IA 50158
Phone (515) 559-1998

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1629069828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 N 13TH ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501585498",
            "telephone_number": "641-352-3544",
            "fax_number": "641-752-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 N 13TH ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "50158",
            "telephone_number": "641-352-3544",
            "fax_number": "641-752-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGLAND",
        "first_name": "CYNTHIA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2018-05-29",
        "deactivation_date": "2018-05-15",
        "reactivation_date": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0173096",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "BAUER",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marshalltown, IA

Sources for this page

Verify at the official NPI Registry.