Individual provider Active NPI

Chris Arnold Ratcliff, OD

  • Optometrist
  • Huntington, WV
National Provider Identifier
1881710101
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
879OD Issued in WV
Practice address
919 5TH Ave
Huntington, WV 25701-2003
Phone
(304) 523-4819
Fax
(304) 525-5551
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 879OD WV Primary

Addresses

Primary practice location

919 5TH Ave
Huntington, WV 25701-2003

Mailing address

919 5TH Ave
Huntington, WV 25701-2003
Phone (304) 523-4819

Other identifiers 2

IdentifierTypeStateIssuer
0149611000MedicaidWV
550640354OtherWVTAX ID

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20120628000682 WV Practitioner - Optometry 9931364742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-State Eye Care Center, LTD.Group PAC ID 1850556655, 2 clinicians

Practice addresses (Care Compare)

919 5TH Ave
Huntington, WV 25701-2003
Phone (304) 523-4819

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
879ODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Eye Care Center, LTD. Optometrist CurrentSince Jun 11, 1990 Accepting new patients

Locations

919 5th Ave
Huntington, WV 25701
Phone (304) 523-4819

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1881710101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 5TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012003",
            "telephone_number": "304-523-4819",
            "fax_number": "304-525-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 5TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012003",
            "telephone_number": "304-523-4819",
            "fax_number": "304-525-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATCLIFF",
        "first_name": "CHRIS",
        "middle_name": "ARNOLD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "879OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149611000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "550640354",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.