MEDICARE: DR. REGGIE L RAGSDALE OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	9341T	CA

General Provider Information

NPI Number	:	1902968563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REGGIE L RAGSDALE OD

Provider Business Mailing Address
First Line	:	755 S PERRY ST STE 100
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80104-1923
Country	:	US
Telephone Number	:	720-531-0688
Fax Number	:	303-660-6173

Provider Business Practice Location Address
First Line	:	755 S PERRY ST STE 100
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80104-1923
Country	:	US
Telephone Number	:	720-531-0688
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	01/05/2026

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