Individual provider Active NPI

Ralph Reagan Lim Jr., DO

  • Ophthalmology Physician
  • Columbus, OH
National Provider Identifier
1962491266
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
34.006946 Issued in OH
Practice address
420 N James Rd
Columbus, OH 43219-1834
Phone
(142) 575-6426
Fax
(614) 257-5288
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 34.006946 OH Primary

Addresses

Primary practice location

420 N James Rd
Columbus, OH 43219-1834

Mailing address

420 N James Rd
Columbus, OH 43219-1834
Phone (614) 257-5642

Other identifiers 4

IdentifierTypeStateIssuer
P00748930OtherOHRAILROAD MEDICARE
P00725741OtherKYRAILROAD MEDICARE
2949420MedicaidOH
P01702083OtherOHRAILROAD MEDICARE - MHCPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240821005125 AZ Practitioner - Ophthalmology 3375695653 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwestern Eye Center LTDGroup PAC ID 1850296989, 116 clinicians

Practice addresses (Care Compare)

3192 Willow Creek Rd
Prescott, AZ 86301-6610
Phone (928) 445-1234

Merit-based Incentive Payment System (MIPS)

Final score
88.66 of 100Reported as group
Quality
84.9
Promoting interoperability
100
Improvement activities
40
Cost
77.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.006946OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnet Dulaney Perkins Eye Center, PC Ophthalmology CurrentSince Oct 1, 2024 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Oct 1, 2024 Accepting new patients
Southwestern Eye Center LTD Ophthalmology CurrentSince Oct 1, 2024 Accepting new patients
Southwestern Eye Center, LTD CurrentSince Oct 1, 2024 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Ophthalmology Current Accepting new patients
David M. Schneider, M.D. Inc. Ophthalmology PastSince Nov 1, 2014 Accepting new patients

Locations

3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555

399 W Palomino Rd
Chino Valley, AZ 86323
Phone (928) 636-5504

270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

40 Capri Blvd
Ste 102
Lk Havasu Cty, AZ 86403
Phone (520) 758-2020

383 Lake Havasu Ave S
Lk Havasu Cty, AZ 86403
Phone (928) 680-1144

1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500

4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

3192 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-1234

825 S 20th Ave
Safford, AZ 85546
Phone (928) 428-6930

2370 W State Route 89A
Ste 16A17A18
Sedona, AZ 86336
Phone (928) 282-1231

63 S Rockford Dr
Ste 220
Tempe, AZ 85288

5632 E 5th St
Tucson, AZ 85711
Phone (520) 584-8888

698 E Wetmore Rd
Ste 100
Tucson, AZ 85705
Phone (520) 690-5707

275 W 28th St
Yuma, AZ 85364
Phone (928) 329-5011

2149 W 24th St
Yuma, AZ 85364
Phone (928) 726-1100

Interoperability endpoints

  • Direct secure messaging: ralph.lim.p20@direct.avp.nextgenshare.com

Organizations & group practices 6

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1962491266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N JAMES RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191834",
            "telephone_number": "614-257-5642",
            "fax_number": "614-257-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N JAMES RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191834",
            "telephone_number": "142-575-6426",
            "fax_number": "614-257-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "RALPH",
        "middle_name": "REAGAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "34.006946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00748930",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00725741",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2949420",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE - MHCPI",
            "identifier": "P01702083",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.