NPIMap

Organization Active NPI

Ratchford Eye Center LLC

  • Eyewear Supplier
  • Berlin, CT
National Provider Identifier
1801144456
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
001722 Issued in CT
Legal business name
RATCHFORD EYE CENTER LLC
Practice address
1166 Farmington Avenue
Berlin, CT 06037-2302
Phone
(860) 829-8939
Fax
(860) 829-8938
NPI assigned
Aug 29, 2012
Last updated
Aug 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Authorized official

Name
Dr. Mary Gina Ratchford, M.D.NPI 1578688909
Title
Member
Phone
(860) 829-8939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 001722 CT Primary

Addresses

Primary practice location

1166 Farmington Avenue
Berlin, CT 06037-2302

Mailing address

1166 Farmington Avenue
Berlin, CT 06037
Phone (860) 829-8939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121226000127 CT DME Supplier - Physician - Ophthalmology 0244245728 Practice locations: Berlin, CT

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Ratchford Eye Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1801144456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 FARMINGTON AVENUE",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "06037",
            "telephone_number": "860-829-8939",
            "fax_number": "860-829-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 FARMINGTON AVENUE",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060372302",
            "telephone_number": "860-829-8939",
            "fax_number": "860-829-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RATCHFORD EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "RATCHFORD",
        "authorized_official_first_name": "MARY GINA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-829-8939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CT",
            "license": "001722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.