Active NPI
Maureen Raddatz, O.D.
- Optometrist
- Effingham, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-009543
- Practice address
- 600 N Keller Dr Ste a
Effingham, IL 62401-1814 - Phone
- (217) 342-2900
- NPI assigned
- May 12, 2006
- Last updated
- Oct 30, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046-009543 | IL | Primary |
Addresses
Primary practice location
600 N Keller Dr Ste a
Effingham, IL 62401-1814
Mailing address
1200 W Deyoung St
Marion, IL 62959-4437
Phone (618) 993-5686
Other practice location 1
520 E North Ave
Flora, IL 62839-2534
Phone (618) 662-3202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
520 E N Ave
Flora, IL 62839-2534
Phone (618) 662-3202
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-009543 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion Eye Centers LTD. | Optometrist | Current | Accepting new patients |
| Marion Eye Centers LTD. | Optometrist | Current | Accepting new patients |
| University of California San Francisco Medical Center | Past | Accepting new patients |
Locations
1950 Franklin St
Carlyle, IL 62231
Phone (618) 384-5112
1201 W Main St
Carmi, IL 62821
Phone (618) 384-5112
899 E McCord St
Centralia, IL 62801
Phone (618) 532-1997
600 N Keller Dr
Effingham, IL 62401
Phone (217) 342-2900
600 N Keller Dr
Ste A
Effingham, IL 62401
Phone (217) 342-2900
101 E Main St
Fairfield, IL 62837
Phone (618) 842-3228
520 E North Ave
Flora, IL 62839
Phone (618) 662-3202
5 Eye Center Dr
Harrisburg, IL 62946
Phone (618) 252-5377
1200 W Deyoung St
Marion, IL 62959
Phone 61899356861290
1180 W Saint Louis St
Nashville, IL 62263
Phone (618) 327-3900
902 E Locust St
Olney, IL 62450
Phone (618) 392-2020
1103 W Main St
Salem, IL 62881
Phone (618) 548-0100
300 W Randolph St
Vandalia, IL 62471
Phone (618) 283-7100
Organizations & group practices 3
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.
-
- Durable Medical Equipment & Medical Supplies
- Sparta, IL
- NPI 1982894465
Optometrist
-
dba UCSF Medical Center
- General Acute Care Hospital
- San Francisco, CA
- NPI 1144325440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1793318400000",
"number": "1801847017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 W DEYOUNG ST",
"city": "MARION",
"state": "IL",
"postal_code": "629594437",
"telephone_number": "618-993-5686",
"fax_number": "618-993-0031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N KELLER DR STE A",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624011814",
"telephone_number": "217-342-2900"
}
],
"practiceLocations": [
{
"address_1": "520 E North Ave",
"address_purpose": "LOCATION",
"city": "Flora",
"state": "IL",
"postal_code": "628392534",
"country_code": "US",
"telephone_number": "618-662-3202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RADDATZ",
"first_name": "MAUREEN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2026-10-30",
"certification_date": "2026-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046-009543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Effingham, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2026; 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.