Active NPI
Christopher David Radig, OD
- Optometrist
- Pocahontas, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 02036
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410038847 | Other | MEDICARE- RAILROAD | |
| 0113340 | Medicaid | IA | |
| 0416820001 | Other | DMERC | |
| 0416820002 | Other | DMERC | |
| 1113340 | Medicaid | IA | |
| 2113340 | Medicaid | IA | |
| 0416820003 | Other | DMERC |
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
Enrollment records 1
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 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 46 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sinek Vision Clinic PC | Optometrist | Current | Accepting new patients |
| Sinek Vision Clinic PC | Optometrist | Current | 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.
-
- Optometrist
- Rockwell City, IA
- NPI 1467429902
-
- Optometrist
- Pocahontas, IA
- NPI 1225098874
-
- Optometrist
- Manson, IA
- NPI 1659348100
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.