Roger Lee Radell, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2024 Issued in OK

Practice address

915 9TH Street
Prague, OK 74864-0507

Phone

(405) 567-2261

NPI assigned

Sep 20, 2006

Last updated

Apr 1, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Optometry

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Roger L Radell O D Incorporated P C

  • Optometrist
  • Prague, OK
  • NPI 1275753550
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1265539613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 507",
            "city": "PRAGUE",
            "state": "OK",
            "postal_code": "748640507",
            "telephone_number": "405-567-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 9TH STREET",
            "city": "PRAGUE",
            "state": "OK",
            "postal_code": "748640507",
            "telephone_number": "405-567-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADELL",
        "first_name": "ROGER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100766660A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1265539613",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prague Healthcare Authority (Prague Memorial Regional Hospital)
• Prague Healthcare Authority (Prague Family Clinic)
• Prague Medical Alliance PLLC (Prague Family Clinic)
• Prague Public School
• Precision Respiratory Solutions LLC
• Chris Richardson
• Katrina Richardson
• Roger L Radell O D Incorporated P C
• Rose Wellness Center LLC
• Joshua Ray Sheffield, PHARM.D.

• Optometrist in Prague, OK
• Providers in Prague, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.

Verify at the official NPI Registry.