RENATA B. RAEDER (NPI# 1699857003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699857003 |
| Entity Type | Individual |
| Full Name | RENATA B. RAEDER |
| Credential | O.D. |
| Practice Address |
21475 Ridgetop Cir Suite 300 Sterling VA 20166-6580 |
| Mailing Address |
Po Box 17334 Baltimore MD 21297-1334 |
| Practice Telephone | 7034304400 |
| Practice Fax Number | 7034304130 |
| Mailing Telephone | 7034436717 |
| Mailing Fax Number | 7034438643 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2015-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0618-000741 | VA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 1651005-00 | 05 | |
| MD | 1651005-01 | 05 | |
| MD | 1651005-03 | 05 | |
| MD | 1651005-02 | 05 |
| Street Address |
21475 RIDGETOP CIR SUITE 300 |
| City | STERLING |
| State | VA |
| Zip Code | 20166-6580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407837727 | Ivey G Peterson | Physician Assistant | 21475 Ridgetop Cir, Suite 150, Sterling, VA 20166-6580 | 2005-11-14 |
| 1255880852 | Roshan Patel | Physical Therapist | 21475 Ridgetop Cir, Sterling, VA 20166-6580 | 2016-09-25 |
| 1023499522 | Casey Lynn Baumgardner | Physician Assistant | 21475 Ridgetop Cir, Ste150, Sterling, VA 20166-6580 | 2015-06-11 |
| 1760879902 | Loudoun Medical Group PC | Ophthalmology | 21475 Ridgetop Cir, Suite 300, Sterling, VA 20166-6580 | 2015-04-24 |
| 1982019105 | Cory Edward Kraftson | Physician Assistant | 21475 Ridgetop Cir, Suite 150, Sterling, VA 20166-6580 | 2014-06-26 |
| 1780096479 | Tatiana Staver | Dentist | 21475 Ridgetop Cir, Suite 200, Sterling, VA 20166-6580 | 2014-05-29 |
| 1871936765 | Erin Holland | Occupational Therapist | 21475 Ridgetop Cir, Suite 260, Sterling, VA 20166-6580 | 2013-04-10 |
| 1548523533 | David Saul Levine | Orthopaedic Surgery | 21475 Ridgetop Cir, Ste 150, Sterling, VA 20166-8521 | 2012-06-25 |
| 1457612301 | Deanna Busteed | Dietitian, Registered | 21475 Ridgetop Cir, Suite 150, Sterling, VA 20166-6580 | 2012-06-06 |
| 1225303704 | Diana Vartui Sensenbrenner | Dentist | 21475 Ridgetop Cir, Suite Number 230, Sterling, VA 20166-6580 | 2012-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881187458 | Vincent Seng | Behavior Technician | 4040 Center Oak Plaza, Suite 150, Sterling, VA 20166 | 2018-06-08 |
| 1205339348 | Morgan Elyse Gillum | Occupational Therapist | 45305 Catalina Ct Ste 101, Sterling, VA 20166 | 2018-03-15 |
| 1376090548 | Chelsea Moore | Behavioral Analyst | 46040 Center Oak Plz Ste 150, Sterling, VA 20166 | 2016-09-06 |
| 1194175711 | Krisha Verma | Dentist | 21631 Ridgetop Cir Ste 240, Sterling, VA 20166 | 2016-06-14 |
| 1265898571 | Bba Home Health Care | Home Health | 23420 Summerstown Place, Dulles, VA 20166 | 2016-01-04 |
| 1588038590 | Mancy Modi | Physical Therapist | 45305 Catalina Court, Suite 103, Sterling, VA 20166 | 2015-11-16 |
| 1912300377 | Kiley Coleman Gibbs | Physical Therapist | 21631 Ridgetop Cir Ste 225a, Sterling, VA 20166 | 2014-09-30 |
| 1053712554 | Rx Ante Pharmacy Services, LLC | Pharmacy | 21630 Ridgetop Circle, Suite 100, Sterling, VA 20166 | 2014-09-16 |
| 1972904738 | Northern Virginia Community Hospital LLC | General Acute Care Hospital | 24440 Stone Springs Boulevard, Dulles, VA 20166 | 2014-09-11 |
| 1518304641 | Institute for The Psychological Sciences | Psychologist | 45154 Underwood Ln., Sterling, VA 20166 | 2013-05-30 |
| Find all providers in zip 20166 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306361282 | Sahar Moghadam Emami | Optometrist | 24570 Dulles Landing Dr Unit 170, Sterling, VA 20166-2623 | 2017-08-11 |
| 1518361534 | New Era Eyecare, LLC | Optometrist | 20789 Great Falls Plz Ste 108, Sterling, VA 20165-2483 | 2014-10-20 |
| 1326441031 | Kimberly Ho | Optometrist | 45591 Dulles Eastern Plz Ste 184, Sterling, VA 20166-8925 | 2014-10-08 |
| 1043508161 | Nazanin Latifi | Optometrist | 165 Seneca Ridge Dr, Sterling, VA 20164-1365 | 2011-07-11 |
| 1912217951 | Ajay Katiyar | Optometrist | 4304 E Lincolnway Ave, Sterling, IL 61081 | 2010-10-08 |
| 1568797132 | Style Eyes LLC | Optometrist | 20789 Great Falls Plz, Unit 108, Sterling, VA 20165-2496 | 2009-10-14 |
| 1699008748 | Tchula Morgison | Optometrist | 45415 Dulles Town Crossing Suite 100, Sterling, VA 20166 | 2009-09-08 |
| 1699956136 | Dulles Optometry, LLC | Optometrist | 22000 Dulles Retail Plz, Ste. 168, Sterling, VA 20166-2507 | 2007-11-26 |
| 1588706188 | Family Vision Center of Sterling PC | Optometrist | 419 W Main Street, Sterling, CO 80751-0209 | 2007-02-12 |
| 1730290347 | Karla Yvette Kirk | Optometrist | 3215 E Lincolnway, Sterling, IL 61081-1772 | 2006-08-31 |
| Find all providers in STERLING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.