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

Sex

Female

Sole proprietor

No

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.

• Stony Creek Eye Care PLLC

  • Corneal and Contact Management Optometrist
  • Washington, MI
  • NPI 1033565213

  MI

  Medicare reassignment Care Compare group
• Michigan Glaucoma & Cataract, P.C.

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

Specialty

Optometry

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stony Creek Eye Care PLLC 2 clinicians

Practice addresses (Care Compare)

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 11, 2014.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679729685",
            "state": "MI"
        }
    ],
    "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

• All providers in Troy, MI
• 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.