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Organization
SHANE RAGSDALE O.D. P.A.
Active
Organization
SHANE RAGSDALE O.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE RAGSDALE O.D. (OWNER/PRESIDENT)
(940) 387-9595
Entity
Organization
Contact information
Practice address
526 N LOCUST ST, DENTON, TX 76201-4128
(940) 387-9595
(940) 387-0605
Mailing address
526 N LOCUST ST, DENTON, TX 76201-4128
(940) 387-9595
(940) 387-0605
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7723-TG
TX
152WC0802X
Corneal and Contact Management Optometrist
7723-TG
TX
152WP0200X
Pediatric Optometrist
7723-TG
TX
152WS0006X
Sports Vision Optometrist
7723-TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E35G
BLUE CROSS BLUE SHIELD
TX
05
—
1649550-02
—
TX
Enumeration date
09/14/2007
Last updated
03/02/2023
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