Judy Rattan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3499 Issued in MA

Practice address

221 3Rd St W
359 Amds/Sgpe
Jbsa Randolph, TX 78150-4800

Phone

(210) 652-5526

Fax

(210) 652-6348

NPI assigned

Apr 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1780641076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 GALLANT FOX DR",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781082318",
            "telephone_number": "405-479-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 3RD ST W",
            "address_2": "359 AMDS/SGPE",
            "city": "JBSA RANDOLPH",
            "state": "TX",
            "postal_code": "781504800",
            "telephone_number": "210-652-5526",
            "fax_number": "210-652-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATTAN",
        "first_name": "JUDY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Yoonsik Oh, MD
• Alexander Scott Patlovany, PHARMD
• Andrew Pellegrin, MD
• Tere Penland, APRN, CPNP-PC
• Patrick Andrew Pohle, LCSW
• Jennifer Lynn Ravenscroft, D.O.
• Seth Ravid
• Gregory Richert, D.O.
• Jeffery Rueben, PA
• Karen Ann Ryan-Philpott, MD

• Optometrist in Jbsa Randolph, TX
• Providers in Jbsa Randolph, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.