Tatjana Alexandra Jasmin Ratzenberger, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004456 Issued in MI

Practice address

735 John R Rd
Troy, MI 48083-5856

Phone

(248) 544-3290

Fax

(248) 528-4040

NPI assigned

Aug 10, 2008

Last updated

Mar 11, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Optometry

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stony Creek Eye Care PLLCGroup PAC ID 9032409511, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Stony Creek Eye Care PLLC

  dba ExpertEyes

  • Corneal and Contact Management Optometrist
  • Washington, MI
  • NPI 1033565213
  Medicare reassignment Care Compare group
• Michigan Glaucoma & Cataract, P.C.

  dba Michigan Glaucoma Specialists PC

  • Specialist
  • Pleasant Ridge, MI
  • NPI 1073540324
  NPD (past)

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

{
    "created_epoch": "1218326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1679729685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 JOHN R RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835856",
            "telephone_number": "248-544-3290",
            "fax_number": "248-528-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 JOHN R RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835856",
            "telephone_number": "248-544-3290",
            "fax_number": "248-528-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATZENBERGER",
        "first_name": "TATJANA",
        "middle_name": "ALEXANDRA JASMIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-10",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004456",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MI",
            "license": "4901004456",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "MI",
            "license": "4901004456",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rapha Counseling
• Andrew Rasera, RBT
• Maheer Rasheed
• Piti Ratanapanichkich, MD
• Zubair G. Rathur, PT
• Casey Michelle Rau
• Sarah L Rauner, NP
• Courtney Raupp, MA, BCBA
• Sarala S Ravikant, MD
• Supriya Ravoor, OTR/L

• Optometrist in Troy, MI
• Providers in Troy, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.

Verify at the official NPI Registry.