DR. MAUREEN RADDATZ (NPI# 1801847017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801847017 |
| Entity Type | Individual |
| Full Name | DR. MAUREEN RADDATZ |
| Credential | O.D. |
| Practice Address |
5 Eye Center Dr Harrisburg IL 62946-3334 |
| Mailing Address |
1200 W Deyoung St Marion IL 62959-4437 |
| Practice Telephone | 6182525377 |
| Practice Fax Number | 6182523028 |
| Mailing Telephone | 6189935686 |
| Mailing Fax Number | 6189976250 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2008-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046-009543 | IL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE NSC NUMBER | 0814870003 | 01 |
| IL | MEDICARE NSC NUMBER | 0814870030 | 01 |
| HARMONY HEALTH PLAN | 237034 | 01 | |
| IL | MEDICARE NSC NUMBER | 0814870011 | 01 |
| HEALTH ALLIANCE | 085495 | 01 | |
| IL | 046009543 | 05 | |
| IL | MEDICARE RAILROAD | P00053904 | 01 |
| IL | MEDICARE NSC NUMBER | 0814870023 | 01 |
| EYEMED | IL9543 | 01 |
| Street Address |
5 EYE CENTER DR |
| City | HARRISBURG |
| State | IL |
| Zip Code | 62946-3334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598820904 | Marion Eye Centers Ltd | Durable Medical Equipment & Medical Supplies | 5 Eye Center Dr, Harrisburg, IL 62946-3334 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770195117 | Leslie Wheeler | Pharmacist | #4 Commercial Drive, Harrisburg, IL 62946 | 2020-08-18 |
| 1215337266 | Prn Pharmacies Ltd | Durable Medical Equipment & Medical Supplies | 501 E. Sloan St., Harrisburg, IL 62946 | 2014-08-27 |
| 1316293855 | Steward Chiropractic Center, LLC | Chiropractor | 608 Rollie Moore Dr., Suite 2, Harrisburg, IL 62946 | 2012-08-02 |
| 1558664664 | Harrisburg Medical Center Inc | Clinic/Center | 183 W Lane St, Equality, IL 62946 | 2010-12-10 |
| 1588849178 | Scarlett Annette Oyler | Technician, Other | 607 W Commercial Suite, Harrisburg, IL 62946 | 2008-01-02 |
| 1043427958 | Debbie Oglesby | Case Manager/Care Coordinator | #22 Veterans Drive, Harrisburg, IL 62946 | 2007-05-17 |
| 1336272764 | Coleman Tri-county Services, Inc. | Community/Behavioral Health | # 22 Veterans Drive, Harrisburg, IL 62946 | 2007-03-14 |
| 1437212081 | Harris Frank LLC | Skilled Nursing Facility | Harrisburg Care Center, 1000 West Sloan St, Harrisburg, IL 62946 | 2006-12-18 |
| 1932269701 | Leanne H Deneal | Physician Assistant | 28 Veteran's Drive, Harrisburg, IL 62946 | 2006-12-11 |
| 1881646990 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 20 Veterans Drive, Harrisburg, IL 62946 | 2006-05-17 |
| Find all providers in zip 62946 | ||||
| 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 |
|---|---|---|---|---|
| 1043692171 | Danielle Nicole Renda | Optometrist | Route 22 and Colonial Rd, Suite 74, Harrisburg, PA 17109-6235 | 2015-06-25 |
| 1952666406 | Chantel Nicole Garcia Tarbett | Optometrist | 4350 Main St Ste 107, Harrisburg, NC 28075-7439 | 2012-07-11 |
| 1225348899 | Ashley Dominique Hudson | Optometrist | Route 22 and Colonial Rd., Suite 74, Harrisburg, PA 17109 | 2010-10-18 |
| 1699941963 | Christine E. Gavett | Optometrist | 13020 N Route E, Harrisburg, MO 65256 | 2008-05-06 |
| 1225234453 | John D Boer | Optometrist | 220 S Cliff Ave Ste 102, Harrisburg, SD 57032-2117 | 2007-06-25 |
| 1972626935 | David J Bryden | Optometrist | 6021 Allentown Blvd, Harrisburg, PA 17112-2602 | 2007-04-06 |
| 1407998982 | Kimberly A Zimmerman | Optometrist | 2745 N Front St, Harrisburg, PA 17110-1265 | 2007-02-13 |
| 1063569036 | Optometry Associates, P.C. | Optometrist | 4392 Sturbridge Drive, Harrisburg, PA 17110-3670 | 2007-01-04 |
| 1851457030 | Heather Anne Bourdeau | Optometrist | 1130 South 19th Street, Harrisburg, PA 17104 | 2006-12-29 |
| 1932263738 | Darcy L Williams | Optometrist | 4240 Elmerton Ave, Harrisburg, PA 17109-2317 | 2006-12-19 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 62946 |
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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.