Individual provider Active NPI

Christopher David Radig, OD

  • Optometrist
  • Pocahontas, IA
National Provider Identifier
1154319010
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02036 Issued in IA
Practice address
330 N Main St
Pocahontas, IA 50574-1626
Phone
(712) 335-3298
Fax
(712) 335-3262
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 02036 IA Primary

Addresses

Primary practice location

330 N Main St
Pocahontas, IA 50574-1626

Mailing address

330 N Main St
Pocahontas, IA 50574-1626
Phone (712) 335-3298

Other identifiers 7

IdentifierTypeStateIssuer
410038847OtherMEDICARE- RAILROAD
0113340MedicaidIA
0416820001OtherDMERC
0416820002OtherDMERC
1113340MedicaidIA
2113340MedicaidIA
0416820003OtherDMERC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050615000609 IA Practitioner - Optometry 1850284555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1019 Main St
Manson, IA 50563-5156
Phone (712) 469-2592

330 N Main St
Pocahontas, IA 50574-1626
Phone (712) 335-3298

411 4TH St
Rockwell City, IA 50579-1413
Phone (712) 297-8607

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sinek Vision Clinic PC Optometrist CurrentSince Aug 15, 1994 Accepting new patients
Sinek Vision Clinic PC Optometrist CurrentSince Aug 15, 1994 Accepting new patients
Sinek Vision Clinic PC Optometrist Past Accepting new patients

Locations

330 N Main St
Pocahontas, IA 50574
Phone (712) 335-3298

411 4th St
Rockwell City, IA 50579
Phone (712) 297-8607

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281312000000",
    "number": "1154319010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N MAIN ST",
            "city": "POCAHONTAS",
            "state": "IA",
            "postal_code": "505741626",
            "telephone_number": "712-335-3298",
            "fax_number": "712-335-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N MAIN ST",
            "city": "POCAHONTAS",
            "state": "IA",
            "postal_code": "505741626",
            "telephone_number": "712-335-3298",
            "fax_number": "712-335-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADIG",
        "first_name": "CHRISTOPHER",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2010-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE- RAILROAD",
            "identifier": "410038847",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0113340",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0416820001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0416820002",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1113340",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2113340",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0416820003",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocahontas, IA

Sources for this page

Verify at the official NPI Registry.