Individual provider Active NPI

Catherine Joanita Radakovic, O.D.

  • Optometrist
  • Manchester, NH
National Provider Identifier
1629014089
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1027 Issued in NH
Practice address
2075 S Willow St
Manchester, NH 03103-2305
Phone
(603) 644-6100
Fax
(603) 314-0404
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2013003686 MO
Optometrist 152W00000X 1027 NH Primary

Addresses

Primary practice location

2075 S Willow St
Manchester, NH 03103-2305

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20210309002235 NH Practitioner - Optometry 5092701417 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope Vision PLLCGroup PAC ID 2769910926, 2 clinicians

Practice addresses (Care Compare)

21 Green St
Concord, NH 03301-4000
Phone (603) 224-0971

6 Loudon Rd
Suite 7
Concord, NH 03301-5321
Phone (603) 401-4101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1027NHMDAddiction (Substance Use Disorder) Counselor
12351CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Vision PLLC Optometrist CurrentSince Jan 1, 2025 Accepting new patients
Myeyedr Optometry of New Hampshire, PLLC Optometrist CurrentSince Apr 19, 2021 Accepting new patients
Inspire Vision, P.L.L.C CurrentSince May 1, 2022 Accepting new patients
Anthony N Sacco OD PC Optometrist CurrentSince Dec 15, 2023 Accepting new patients
Myeyedr Optometry of New Hampshire, PLLC Optometrist CurrentSince Apr 19, 2021 Accepting new patients
Myeyedr Optometry of New Hampshire, PLLC Optometrist Current Accepting new patients
Davidson Vision Therapy LLC PastSince Jul 2, 2023 Accepting new patients
Mark D Peckham OD PC Optometrist Past Accepting new patients

Locations

6 Loudon Rd
Ste 7
Concord, NH 03301
Phone (603) 401-4101

21 Green St
Ste 1
Concord, NH 03301
Phone (603) 224-0971

21 Green St
Concord, NH 03301
Phone (603) 224-0971

1 Brickyard Sq
Ste 11
Epping, NH 03042
Phone (603) 347-8377

1093 Elm St
Manchester, NH 03101
Phone (603) 296-0235

9 Triangle Ln
Ste 204
Manchester, NH 03103
Phone (603) 644-6100

87 Elm St
Manchester, NH 03101
Phone (603) 935-5966

603 Nashua St
Milford, NH 03055
Phone (603) 672-0338

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1629014089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 S WILLOW ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031032305",
            "telephone_number": "603-644-6100",
            "fax_number": "603-314-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADAKOVIC",
        "first_name": "CATHERINE",
        "middle_name": "JOANITA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2013003686",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "1027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.