Active NPIOrganization

Theresa Radtke, OD LLC

Optometrist in Clifton, New Jersey

NPI Number1255851887
Practice location
1053 Bloomfield Ave, Clifton, NJ 07012-2120
Fax
973-594-0120
Last updated
April 23, 2021

Theresa Radtke, OD LLC is a healthcare organization based in Clifton, NJ. Theresa Radtke, OD LLC practices in Clifton, NJ. The NPI Number for Theresa Radtke, OD LLC is 1255851887 and holds a License No. TUV008483 (NY). The current practice location address for Theresa Radtke, OD LLC is 1053 Bloomfield Ave, Clifton, NJ 07012-2120 and can be reached out via phone at 973-594-0020 and via fax at 973-594-0120.

Provider Profile Details

NPI Number
1255851887
Provider Name
Theresa Radtke, OD LLC
Provider Entity Type
Organization
Address
1053 Bloomfield Ave, Clifton, NJ 07012-2120
Phone Number
973-594-0020
Fax Number
973-594-0120
Primary Taxonomy
Optometrist · 152W00000X
Organization Subpart
No
Authorized Official
Dr. Theresa Radtke, OD · Owner/Optometrist · 201-913-7808
Other Names
Insight Eye And Vision Care (Doing Business As)
Provider Enumeration Date
June 24, 2017
Last Update Date
April 23, 2021
Certification Date
April 23, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1053 Bloomfield Ave
Clifton, NJ 07012-2120
Zip
07012-2120
Phone Number
973-594-0020
Fax Number
973-594-0120
Clifton, NJ 07012Get directions →

Provider Business Mailing Address Details

Address
1053 Bloomfield Ave
Clifton, NJ 07012-2120
City
Clifton
State
NJ
Zip
07012-2120
Phone Number
973-594-0020
Fax Number
973-594-0120

License Information

License Number (1)
TUV008483
License State (1)
NY
Taxonomy (1)
Optometrist · 152W00000X
License Number (2)
27OA00667600
License State (2)
NJ
Taxonomy (2)
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Theresa Radtke, OD LLC?

The NPI number of Theresa Radtke, OD LLC is 1255851887. It was assigned on June 24, 2017 and is currently active in the NPPES registry.

What is the specialty of Theresa Radtke, OD LLC?

Theresa Radtke, OD LLC is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NY under license number TUV008483.

Where does Theresa Radtke, OD LLC practice?

The practice location is 1053 Bloomfield Ave, Clifton, NJ 07012-2120. The office can be reached at 973-594-0020 (phone) or 973-594-0120 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255851887 directly on the NPPES registry website.

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