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Individual

DR. SHANE MICHAEL RAGSDALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

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
3149
OK
152W00000X
Optometrist
7723TG
TX
152WC0802X
Corneal and Contact Management Optometrist
Primary
7723TG
TX
152WP0200X
Pediatric Optometrist
7723TG
TX
152WS0006X
Sports Vision Optometrist
7723TG
TX
152WX0102X
Occupational Vision Optometrist
7723TG
TX

Other

Enumeration date
07/12/2011
Last updated
09/13/2023
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