Ragan Family Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

727 Issued in MS

Legal business name

RAGAN FAMILY EYE CARE, LLC

Practice address

127 Grandview Dr
Madison, MS 39110-7595

Phone

(601) 853-7640

Fax

(601) 853-7614

NPI assigned

Sep 29, 2006

Last updated

Jul 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly J Ragan, O.D.NPI 1225024862

Title

Owner

Phone

(601) 853-7640

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly J Ragan, O.D.

  • Optometrist
  • Madison, MS
  • NPI 1225024862
  Medicare reassignment Care Compare group NPD Authorized official
• Trakena Cole Jones, OD

  • Optometrist
  • Jackson, MS
  • NPI 1326320896
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1659463495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2150",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391302150",
            "telephone_number": "601-853-7640",
            "fax_number": "601-853-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 GRANDVIEW DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107595",
            "telephone_number": "601-853-7640",
            "fax_number": "601-853-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAGAN FAMILY EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "RAGAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-853-7640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04937040",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "WALM45096",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Purpose of Hearts Ministries
• Quad Intermed Company LLC (MEA Medical Clinic)
• Quad Intermed Company LLC
• Quad Intermed Company LLC (MEA Medical Clinics)
• Daniel Quon, D.M.D.
• Kimberly J Ragan, O.D.
• Lina Elizabeth Raley
• Tho Thi Raley
• Chrona Janett Tasneem Ramey, BCBA-D, LBA, EDD
• Alexandria Marie Randolph, OT

• Optometrist in Madison, MS
• Providers in Madison, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.