Dr. Theresa Radtke, OD
Optometrist in Clifton, New Jersey
1659723310- Practice location
- 1053 Bloomfield Ave, Clifton, NJ 07012-2120
- Phone
- 973-594-0020
- Fax
- 973-594-0120
- Last updated
- April 23, 2021
Theresa Radtke is an Optometrist based in Clifton, NJ. Theresa Radtke practices in Clifton, NJ and has the professional credentials of OD. The NPI Number for Theresa Radtke is 1659723310 and holds a License No. 008483 (NY). The current practice location address for Theresa Radtke 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
- 1659723310
- Provider Name
- Theresa Radtke
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1053 Bloomfield Ave, Clifton, NJ 07012-2120
- Phone Number
- 973-594-0020
- Fax Number
- 973-594-0120
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 6, 2016
- 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 - City
- Clifton
- State
- New Jersey
- Zip
- 07012-2120
- Phone Number
- 973-594-0020
- Fax Number
- 973-594-0120
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)
- 008483
- License State (1)
- NY
- Taxonomy (1)
- Optometrist · 152W00000X
- License Number (2)
- 270A00667600
- License State (2)
- NJ
- Taxonomy (2)
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Theresa Radtke, OD?
The NPI number of Dr. Theresa Radtke, OD is 1659723310. It was assigned on July 6, 2016 and is currently active in the NPPES registry.
What is the specialty of Dr. Theresa Radtke, OD?
Dr. Theresa Radtke, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NY under license number 008483.
Where does Dr. Theresa Radtke, OD 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 1659723310 directly on the NPPES registry website.