Individual provider Active NPI

Rhiannon Radcliff, DO

  • Optometrist
  • Liberal, KS
National Provider Identifier
1306376561
Registry record updated Jun 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2066 Issued in KS
Practice address
2136 N Kansas Ave
Liberal, KS 67901-2012
Phone
(620) 624-3841
Fax
(620) 624-0241
NPI assigned
Jun 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2066 KS Primary

Addresses

Primary practice location

2136 N Kansas Ave
Liberal, KS 67901-2012

Mailing address

2136 N Kansas Ave
Liberal, KS 67901-2012
Phone (620) 624-3841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20170718003443 KS Practitioner - Optometry 7214207661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2136 N Kansas Ave
Liberal, KS 67901-2012
Phone (620) 624-3841

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery50

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2066KSMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
20/15 Vision PLLC. Optometrist Current Accepting new patients
Radcliff Family Eyecare, LLC Optometrist CurrentSince Apr 28, 2021 Accepting new patients

Locations

2136 N Kansas Ave
Liberal, KS 67901
Phone (580) 528-1091

Organizations & group practices 2

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": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497830400000",
    "number": "1306376561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 N KANSAS AVE",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012012",
            "telephone_number": "620-624-3841",
            "fax_number": "620-624-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 N KANSAS AVE",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012012",
            "telephone_number": "620-624-3841",
            "fax_number": "620-624-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADCLIFF",
        "first_name": "RHIANNON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2017-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberal, KS

Sources for this page

Verify at the official NPI Registry.