Individual provider Active NPI

William Ratliff, OD

  • Optometrist
  • Madison, WI
National Provider Identifier
1962131771
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3800-35 Issued in WI
Practice address
503 Commerce Dr
Madison, WI 53719-4941
Phone
(608) 833-0062
NPI assigned
Jun 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3800-35 WI Primary

Addresses

Primary practice location

503 Commerce Dr
Madison, WI 53719-4941

Mailing address

633 W Wilson St Apt 405
Madison, WI 53703-4284
Phone (501) 581-8656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20221009000007 WI Practitioner - Optometry 7113303595 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Olson Eye Care LLC Optometrist CurrentSince Jun 25, 2022 Accepting new patients
Capital City Eye Care Optometrist Current Accepting new patients
Olson Eye Care LLC Optometrist CurrentSince Jun 25, 2022 Accepting new patients

Locations

117 W Lake St
Lake Mills, WI 53551
Phone (631) 609-4901

395 W Tyranena Park Rd
#5
Lake Mills, WI 53551
Phone (920) 648-2011

503 Commerce Dr
Madison, WI 53719
Phone (608) 833-0062

Organizations & group practices 3

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": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1962131771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 W WILSON ST APT 405",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537034284",
            "telephone_number": "501-581-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 COMMERCE DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537194941",
            "telephone_number": "608-833-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATLIFF",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3800-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.