Matthew Lee Radke in Sheldon - Optometrist
Matthew Lee Radke - NPI 1306819560
Matthew Lee Radke is a Optometrist in Sheldon, Iowa. Matthew Lee Radke practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Matthew Lee Radke is 1306819560. The last update date is 2007-12-14.
Matthew Lee Radke's current location address is 928 3rd Ave, Sheldon, Iowa. You can contact this provider via phone number 7123242552 and fax number 7123242553. The mailing address for Matthew Lee Radke is 928 3rd Ave, Sheldon, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Lee Radke |
|---|---|
| Address | 928 3rd Ave, Sheldon, Iowa |
| Phone Number | 7123242552 |
| Fax Number | 7123242553 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1306819560 |
|---|---|
| Provider Enumeration Date | 2006-02-08 |
| Last Updated Date | 2007-12-14 |
Provider Mailing Address Detail
| Address | 928 3rd Ave |
|---|---|
| City | Sheldon |
| State | Iowa (IA) |
| Post Code | 512010100 |
| Phone Number | 7123242552 |
| Fax Number | 7123242553 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2078 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1145197 | IA | MEDICAID INDV PAULLINA | |
| 56024 | IA | WELLMARK INDV SHELDON | |
| I7585 | IA | MEDICARE GROUP PAULLINA | |
| 56025 | IA | MEDICARE INDV PAULLINA | |
| CS7580 | IA | RR MEDICARE-GROUP SHELDON | |
| I7584 | IA | MEDICARE GROUP SHELDON | |
| 56025 | IA | WELLMARK INDV PAULLINA | |
| 145177 | IA | -- | |
| 280578 | IA | MEDICAID GROUP PAULLINA | |
| 280586 | IA | MEDICAID GROUP SHELDON |
Post Comment/ Review Below
What is the unique identifier code issued to Matthew Lee Radke by the Centers for Medicare & Medicaid Services?
The Matthew Lee Radke has been assigned the NPI (National Provider Identifier) 1306819560. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Matthew Lee Radke's physical address?
The Matthew Lee Radke is physically located at 928 3Rd Ave, in the city of Sheldon, IA, with the postal code 512010100.
What is Matthew Lee Radke's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Matthew Lee Radke is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.
On what date was the 1306819560 assigned to Matthew Lee Radke?
The Matthew Lee Radke was issued its 1306819560 on 2006-02-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Matthew Lee Radke's details last updated?
The information pertaining to the Matthew Lee Radke, including its address, specialty, and other details, was most recently updated on 2007-12-14.