Dennis Radford OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-100115 Issued in ID

Legal business name

DENNIS RADFORD OD PA

Practice address

700 E 17TH St
Idaho Falls, ID 83404-6152

Phone

(208) 522-2839

Fax

(208) 522-0848

NPI assigned

Dec 5, 2007

Last updated

Dec 5, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dennis S Radford, O D

Title

Optometrist

Phone

(208) 525-2090

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Bradley Lynn Rhinehart, O.D.

  • Optometrist
  • Idaho Falls, ID
  • NPI 1356457030
  NPD (past)

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1831371467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3469",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834033469",
            "telephone_number": "208-525-2090",
            "fax_number": "208-525-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046152",
            "telephone_number": "208-522-2839",
            "fax_number": "208-522-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS RADFORD OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "RADFORD",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "208-525-2090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Demkowicz, RN--SANEA
• Catherine Iola Demott, LMSW
• Deneve Mental Health Clinic
• Jeanette Marie Denning, LCSW
• Jeffrey Michael Denning, DPT
• Jennie Ellen Dennis, LSW
• John Dennis, LCSW
• Craig J Denny, MD
• Pamela Kothari Denson, MD
• William Nick Denson, M.D.

• Optometrist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.