Active NPIIndividual provider

Dr. Derek A Radich, OD

Optometrist in Bound Brook, New Jersey

NPI Number1629508825
Practice location
331 Chimney Rock RD, Bound Brook, NJ 08805-1171
Fax
732-369-6358
Last updated
August 9, 2024

Derek A Radich is an Optometrist based in Bound Brook, NJ. Derek A Radich practices in Bound Brook, NJ and has the professional credentials of OD. The NPI Number for Derek A Radich is 1629508825 and holds a License No. 27OA00679800 (NJ). The current practice location address for Derek A Radich is 331 Chimney Rock RD, Bound Brook, NJ 08805-1171 and can be reached out via phone at 848-275-4817 and via fax at 732-369-6358.

Provider Profile Details

NPI Number
1629508825
Provider Name
Derek A Radich
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
331 Chimney Rock RD, Bound Brook, NJ 08805-1171
Phone Number
848-275-4817
Fax Number
732-369-6358
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
June 19, 2017
Last Update Date
August 9, 2024
Certification Date
August 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
331 Chimney Rock RD
Bound Brook, NJ 08805-1171
Zip
08805-1171
Phone Number
848-275-4817
Fax Number
732-369-6358
Bound Brook, NJ 08805Get directions →

Provider Business Mailing Address Details

Address
331 Chimney Rock RD
Bound Brook, NJ 08805-1171
City
Bound Brook
State
NJ
Zip
08805-1171
Phone Number
848-275-4817
Fax Number
732-369-6358

License Information

License Number
27OA00679800
License State
NJ
Taxonomy
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 Dr. Derek A Radich, OD?

The NPI number of Dr. Derek A Radich, OD is 1629508825. It was assigned on June 19, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Derek A Radich, OD?

Dr. Derek A Radich, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NJ under license number 27OA00679800.

Where does Dr. Derek A Radich, OD practice?

The practice location is 331 Chimney Rock RD, Bound Brook, NJ 08805-1171. The office can be reached at 848-275-4817 (phone) or 732-369-6358 (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 1629508825 directly on the NPPES registry website.

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