Jennifer Ann Ratliff, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7640T Issued in TX

Practice address

300 Mercedes St
Benbrook, TX 76126-2593

Phone

(817) 249-4078

Fax

(817) 249-4078

NPI assigned

Jul 30, 2010

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

Enrolled in TX

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

Southern College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr de Grasse and Associates PAGroup PAC ID 5294787875, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr. de Grasse & Associates, P.a.

  • Optometrist
  • Benbrook, TX
  • NPI 1407078033
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1801100995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MERCEDES ST",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761262593",
            "telephone_number": "817-249-4078",
            "fax_number": "817-249-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MERCEDES ST",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761262593",
            "telephone_number": "817-249-4078",
            "fax_number": "817-249-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATLIFF",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-30",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7640T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Quackenbush
• R. Danford Doss, DDS, Inc
• Ramakrishna Pemmaraju Rao MD
• Antonio Ramirez, RBT
• Sydney Faith Rangel, OTR/L
• Rayseq, PA
• Candice Nicole Reed, AUD
• Rely Dental Centers PC
• Renal Treatment Centers Southeast LP
• Kasey Renfro

• Optometrist in Benbrook, TX
• Providers in Benbrook, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.