Charles Duane Radebaugh in Springfield - Optometrist
Charles Duane Radebaugh - NPI 1710969480
Charles Duane Radebaugh is a Optometrist in Springfield, Oregon. Charles Duane Radebaugh practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Charles Duane Radebaugh is 1710969480. The last update date is 2007-07-08.
Charles Duane Radebaugh's current location address is 1800 Centennial Blvd, Springfield, Oregon. You can contact this provider via phone number 5417265055. The mailing address for Charles Duane Radebaugh is 1800 Centennial Blvd, Springfield, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Duane Radebaugh |
|---|---|
| Address | 1800 Centennial Blvd, Springfield, Oregon |
| Phone Number | 5417265055 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1710969480 |
|---|---|
| Provider Enumeration Date | 2005-11-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1800 Centennial Blvd |
|---|---|
| City | Springfield |
| State | Oregon (OR) |
| Post Code | 974774385 |
| Phone Number | 5417265055 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1193T |
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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 |
|---|---|---|---|
| 167197 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Charles Duane Radebaugh by the Centers for Medicare & Medicaid Services?
The Charles Duane Radebaugh has been assigned the NPI (National Provider Identifier) 1710969480 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Charles Duane Radebaugh is physically located?
The Charles Duane Radebaugh is physically situated at the following address: 1800 Centennial Blvd, Springfield, OR, 974774385.
What is Charles Duane Radebaugh's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Charles Duane Radebaugh is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.
On what date did Charles Duane Radebaugh receive its 1710969480 assignment from the Centers for Medicare & Medicaid Services?
The Charles Duane Radebaugh was assigned its 1710969480 on 2005-11-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Charles Duane Radebaugh's information last updated?
The Charles Duane Radebaugh's information was last updated on 2007-07-08.