Provider Demographics
NPI:1730743139
Name:RAGAN OPHTHALMICS LLC
Entity type:Organization
Organization Name:RAGAN OPHTHALMICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:RAGAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:OD
Authorized Official - Phone:954-579-9447
Mailing Address - Street 1:8605 NUMBER TWO RD
Mailing Address - Street 2:
Mailing Address - City:HOWEY IN THE HILLS
Mailing Address - State:FL
Mailing Address - Zip Code:34737-3714
Mailing Address - Country:US
Mailing Address - Phone:954-579-9447
Mailing Address - Fax:
Practice Address - Street 1:8605 NUMBER TWO RD
Practice Address - Street 2:
Practice Address - City:HOWEY IN THE HILLS
Practice Address - State:FL
Practice Address - Zip Code:34737-3714
Practice Address - Country:US
Practice Address - Phone:954-579-9447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-01
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty