Organization Active NPI

Aftel & Rader, Optometrists, P.L.C.

  • Optometrist
  • Portsmouth, VA
National Provider Identifier
1306933536
Registry record updated Apr 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000333 Issued in VA
Legal business name
AFTEL & RADER, OPTOMETRISTS, P.L.C.
Practice address
5913 Portsmouth Blvd
Portsmouth, VA 23701-1445
Phone
(757) 488-0192
Fax
(757) 488-4567
NPI assigned
Oct 9, 2006
Last updated
Apr 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2009

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

Authorized official

Name
Dr. George Thomas Rader, O.D.
Title
Owner
Phone
(757) 488-0192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000333 VA Primary

Addresses

Primary practice location

5913 Portsmouth Blvd
Portsmouth, VA 23701-1445

Mailing address

5913 Portsmouth Blvd
Portsmouth, VA 23701-1445
Phone (757) 488-0192

Other identifiers 5

IdentifierTypeStateIssuer
25074OtherVAOPTIMA/G. THOMAS RADER,OD
261285OtherVABCBS/G. THOMAS RADER,O.D.
410033892OtherVAMEDICARE-RAILROAD
009231064MedicaidVA
229196OtherVAMAMSI- G. THOMAS RADER,OD

National Provider Directory

National Provider Directory

Locations

5913 Portsmouth Blvd
Portsmouth, VA 23701
Phone (757) 488-0192

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1306933536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5913 PORTSMOUTH BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237011445",
            "telephone_number": "757-488-0192",
            "fax_number": "757-488-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5913 PORTSMOUTH BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237011445",
            "telephone_number": "757-488-0192",
            "fax_number": "757-488-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFTEL & RADER, OPTOMETRISTS, P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "RADER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-488-0192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA/G. THOMAS RADER,OD",
            "identifier": "25074",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/G. THOMAS RADER,O.D.",
            "identifier": "261285",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-RAILROAD",
            "identifier": "410033892",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009231064",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI- G. THOMAS RADER,OD",
            "identifier": "229196",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; 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.