Individual provider Active NPI

Desiree A.J. Ratzenberger, O.D.

  • Optometrist
  • Chesterfield, MI
National Provider Identifier
1932331295
Registry record updated Aug 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004532 Issued in MI
Practice address
50753 Waterside Dr
Chesterfield, MI 48051-4008
Phone
(586) 913-8001
NPI assigned
Aug 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004532 MI Primary

Addresses

Primary practice location

50753 Waterside Dr
Chesterfield, MI 48051-4008

Mailing address

2320 Whispering Hills CT
Washington, MI 48094-1035
Phone (248) 342-2990

Medicare participation

Medicare enrollment files
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200623002592 MI Practitioner - Optometry 8527480441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Michigan State University College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stony Creek Eye Care PLLCGroup PAC ID 9032409511, 2 clinicians

Practice addresses (Care Compare)

8703 26 Mile Rd
Washington, MI 48094-2967
Phone (586) 992-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004532MIMDOptometrist

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": "1250640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250640000000",
    "number": "1932331295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 WHISPERING HILLS CT",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480941035",
            "telephone_number": "248-342-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50753 WATERSIDE DR",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480514008",
            "telephone_number": "586-913-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATZENBERGER",
        "first_name": "DESIREE",
        "middle_name": "A.J.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-19",
        "last_updated": "2009-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

Verify at the official NPI Registry.