DR. KIMBERLY J RAGAN (NPI# 1225024862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225024862 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY J RAGAN |
| Credential | O.D. |
| Practice Address |
127 Grandview Dr Madison MS 39110-7595 |
| Mailing Address |
Po Box 2150 Madison MS 39130-2150 |
| Practice Telephone | 6018537640 |
| Practice Fax Number | 6018537614 |
| Mailing Telephone | 6018537640 |
| Mailing Fax Number | 6018537614 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 727 | MS | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 04473866 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427277656 | Kimberly Anne Ragan | Social Worker | 8680 Hospital Way, Manassas, VA 20110-4287 | 2007-04-25 |
| Street Address |
127 GRANDVIEW DR |
| City | MADISON |
| State | MS |
| Zip Code | 39110-7595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114000619 | Wal-mart Stores East, Lp | Technician/Technologist | 127 Grandview Dr, Madison, MS 39110-7595 | 2006-10-20 |
| 1659463495 | Ragan Family Eye Care, LLC | Optometrist | 127 Grandview Dr, Madison, MS 39110-7595 | 2006-09-29 |
| 1205896842 | Lorraine Gaddis | Nurse Practitioner | 127 Grandview Dr, Madison, MS 39110-7595 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134784689 | Therapy South - Gluckstadt LLC | Physical Therapist | 1716 Us 51, Ste N, Madison, MS 39110 | 2019-05-09 |
| 1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
| 1912488198 | Madison Medical Compounding Pharmacy | Pharmacy | 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 | 2018-08-24 |
| 1679061469 | Nuvena Vein Clinic | Anesthesiology | 120 Fountains Blvd, Madison, MS 39110 | 2018-04-26 |
| 1467960484 | Brick City Drugs, LLC | Durable Medical Equipment & Medical Supplies | 159 Fountains Blvd, Madison, MS 39110 | 2018-01-11 |
| 1093227589 | Hannah Monk Hawthorne | Counselor | 930 Ebenezer Blvd., Suite D, Madisin, MS 39110 | 2017-10-25 |
| 1548786650 | Kimberly Allen | Pharmacist | 1100 Us- 51, Madison, MS 39110 | 2017-08-21 |
| 1891218186 | Delta Elizabeth Stark | Chiropractor | 1085 Gluckstadt Rd., Bld 300 Ste E, Madison, MS 39110 | 2017-07-19 |
| 1861914848 | Laura Hartlein | Dietitian, Registered | 200 Park Circle Dr. #2, Flowood, MS 39110 | 2017-07-12 |
| 1831620608 | Ona Irby | Occupational Therapist | 105 Munich Dr, Madison, MS 39110 | 2017-03-23 |
| Find all providers in zip 39110 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689291254 | Lynne's Moc, LLC | Optometrist | 512 State Street, Madison, WI 53703 | 2020-06-30 |
| 1134631674 | J2lb LLC | Optometrist | 562 N Midvale Blvd, Madison, WI 53705-3238 | 2017-10-24 |
| 1699285478 | Myeyedr Optometry of Alabama LLC | Optometrist | 105 Brookridge Dr Ste F, Madison, AL 35758-7577 | 2017-10-05 |
| 1720506876 | Heritage Eye Care | Optometrist | 12181 County Line Rd Ste 190, Madison, AL 35758-7739 | 2017-09-08 |
| 1215387105 | Jagani Vision Associates | Optometrist | 106 Walking Trail Way, Madison, AL 35758-4818 | 2016-06-21 |
| 1104290816 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 747 Boston Post Rd, Madison, CT 06443-3044 | 2015-11-18 |
| 1740663855 | Active Life Eye Care, Od, Pa | Optometrist | 415 W Academy St, Madison, NC 27025-2005 | 2015-07-07 |
| 1790175479 | William Leslie Arnold | Optometrist | 111 Colony Crossing Way Ste 220, Madison, MS 39110-6834 | 2015-02-02 |
| 1548694235 | Stephanie Mccaig | Optometrist | 1 West Towne Mall, Madison, WI 53719 | 2013-08-29 |
| 1851723258 | Mary Elizabeth Chenault | Optometrist | 102 Intercom Dr, Madison, AL 35758-2638 | 2013-08-07 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.