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Contact Information

SHANE RAGSDALE O.D. P.A.
526 N LOCUST ST
DENTON, TX76201-4128
 Phone: 940-387-9595
 Fax: 940-387-0605
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
 

Pediatrics

152WP0200X 41 Optometry
 

Sports Vision

152WS0006X 41 Optometry
Indicates primary specialty

NPI Profile & details for SHANE RAGSDALE O.D. P.A.

NPI Number 1174719967
LBN Legal business name SHANE RAGSDALE O.D. P.A.
Authorized official SHANE RAGSDALE - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/14/2007
Last updated 03/02/2023 - About 3 years ago
Identifiers
TX License # 7723-TG
TX Medicaid 1649550-02
TX Other 00E35G BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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