Active NPI
Brittany E Radke, O.D.
- Optometrist
- Oakdale, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3548
- Practice address
- 7011 10TH St N
Oakdale, MN 55128-5938 - Phone
- (651) 768-8040
- NPI assigned
- Jun 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3308-35 | WI | |
| Optometrist | 152W00000X | 3548 | MN | Primary |
Addresses
Primary practice location
7011 10TH St N
Oakdale, MN 55128-5938
Mailing address
PO Box 171
Saint Michael, MN 55376-0171
Phone (855) 324-3330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1435 N Acres Rd
Suite 700
Prescott, WI 54021-7053
Phone (715) 262-1020
6936 Pine Arbor Dr S
Suite 110
Cottage Grove, MN 55016-4645
Phone (651) 769-1020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3548 | MN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Eye Care, Cottage Grove, LTD | Optometrist | Current | Accepting new patients |
| Eagan Eye Clinic LLC | Optometrist | Current | Accepting new patients |
| Eagan Eye Clinic LLC | Optometrist | Current | Accepting new patients |
Locations
7430 80th St S
Ste 103
Cottage Grove, MN 55016
Phone (651) 459-9000
6936 Pine Arbor Dr S
Ste 110
Cottage Grove, MN 55016
Phone (651) 769-1020
740 Main St
Mendota Heights, MN 55118
Phone (651) 686-9393
3930 Cedar Grove Pkwy
Saint Paul, MN 55122
Phone (612) 454-5661
7011 10th St N
Saint Paul, MN 55128
Phone (651) 738-8040
2070 Eagle Creek Ln
Ste 200
Woodbury, MN 55129
Phone (651) 436-3356
1435 N Acres Rd
Ste 700
Prescott, WI 54021
Phone (715) 262-1010
Organizations & group practices 4
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
- Cottage Grove, MN
- NPI 1497792758
-
- Optometrist
- Prescott, WI
- NPI 1851816169
-
- Optometrist
- Eagan, MN
- NPI 1477732337
-
- Optometrist
- Becker, MN
- NPI 1023615069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524096000000",
"number": "1780022210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 171",
"city": "SAINT MICHAEL",
"state": "MN",
"postal_code": "553760171",
"telephone_number": "855-324-3330",
"fax_number": "855-324-3330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7011 10TH ST N",
"city": "OAKDALE",
"state": "MN",
"postal_code": "551285938",
"telephone_number": "651-768-8040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADKE",
"first_name": "BRITTANY",
"middle_name": "E",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-06",
"last_updated": "2018-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "3308-35",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "3548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakdale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.