Provider Demographics
NPI:1952318701
Name:RAGSDALE VISION CENTER
Entity Type:Organization
Organization Name:RAGSDALE VISION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:RAGSDALE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:940-382-3535
Mailing Address - Street 1:526 N LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-4128
Mailing Address - Country:US
Mailing Address - Phone:940-382-3535
Mailing Address - Fax:940-387-0605
Practice Address - Street 1:526 N LOCUST ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-4128
Practice Address - Country:US
Practice Address - Phone:940-382-3535
Practice Address - Fax:940-387-0605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX02872T332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX58929OtherSAFEGUARD
TX58929OtherSAFEGUARD
TX4170023497Medicare ID - Type UnspecifiedRAILROAD