Rademaker Eye Care, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1479DT Issued in KY

Legal business name

RADEMAKER EYE CARE, PLLC

Practice address

Building 2840, Bastogne Ave.
Fort Campbell, KY 42223

Phone

(270) 640-4699

Fax

(270) 640-6347

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Don Alan Rademaker, O.D.

Title

Ceo

Phone

(270) 640-4699

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821215716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BUILDING 2840 BASTOGNE AVE.",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "42223",
            "telephone_number": "270-640-4699",
            "fax_number": "270-640-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUILDING 2840, BASTOGNE AVE.",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "42223",
            "telephone_number": "270-640-4699",
            "fax_number": "270-640-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADEMAKER EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RADEMAKER",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-640-4699",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1479DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Quint, PSYD
• Joann S Quintero, PHD
• Emily Raab
• Scott A Raber, M.D.
• Aldan Worthy James Race I
• Alexander Isaac Ramos, DPT
• Frank Ramos III
• Joseph Lindsay Randall III, DMD
• Billy Dean Randolph II, LCSW
• Balakrishna Mohan Rao, M.D.

• Optometrist in Fort Campbell, KY
• Providers in Fort Campbell, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.