Organization Active NPI

Radcliff Family Eyecare, LLC

  • Optometrist
  • Liberal, KS
National Provider Identifier
1831777911
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
RADCLIFF FAMILY EYECARE, LLC
Practice address
2136 N Kansas Ave
Liberal, KS 67901-2012
Phone
(620) 624-3841
Fax
(620) 624-0241
NPI assigned
Mar 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Dr. Rhiannon Shae Radcliff, OD.NPI 1306376561
Title
Optometrist/Owner
Phone
(580) 528-1091

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2136 N Kansas Ave
Liberal, KS 67901-2012

Mailing address

2136 N Kansas Ave
Liberal, KS 67901-2012
Phone (620) 624-3841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210504000735 KS Part B Supplier - Clinic/Group Practice 5193134104 Receives reassigned benefits from 1 practitioner
Practice locations: Liberal, KS
O20210819002268 KS DME Supplier - Physician - Optometrist 5193134104 Practice locations: Liberal, KS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Radcliff Family Eyecare2136 N Kansas Ave, Liberal, KS 67901-2012(620) 624-3841 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jun 1, 2021

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1831777911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 N KANSAS AVE",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012012",
            "telephone_number": "620-624-3841",
            "fax_number": "620-624-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 N KANSAS AVE",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012012",
            "telephone_number": "620-624-3841",
            "fax_number": "620-624-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADCLIFF FAMILY EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "RADCLIFF",
        "authorized_official_first_name": "RHIANNON",
        "authorized_official_middle_name": "SHAE",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "580-528-1091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberal, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.