Ionut Radu, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002469 Issued in GA

Practice address

3839 Mundy Mills Road
Oakwood, GA 30566

Phone

(770) 532-5110

Fax

(770) 532-5152

NPI assigned

Jul 8, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1124281217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3774 CONRAIL CIR",
            "city": "HORN LAKE",
            "state": "MS",
            "postal_code": "386371341",
            "telephone_number": "662-342-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 MUNDY MILLS ROAD",
            "city": "OAKWOOD",
            "state": "GA",
            "postal_code": "30566",
            "telephone_number": "770-532-5110",
            "fax_number": "770-532-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADU",
        "first_name": "IONUT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prachi Patel, DMD
• Tejal A Patel, PHARM D. M.B.A
• Dawn Pawlik
• Peachtree Immediate Care FP, LLC
• Pure Hearts Personal Care Home LLC
• John Neel Range, MD
• Trinell Robertson, RN, MSN, FNP-C
• S Gritsiv DMD PC
• Sam'S Club Optical
• Pooja Mayur Sampat, MD

• Optometrist in Oakwood, GA
• Providers in Oakwood, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.