Theresa Radtke, Od LLC
NPI 1255851887ActiveOrganization· Optometrist· Clifton, NJ
Optometrist in Clifton, New Jersey, registered in NPPES in June 2017. The authorized official on file is Theresa Radtke, OD, Owner/Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1255851887 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 24, 2017 |
| Last updated in NPPES | Apr 23, 2021 |
| Certified by provider | Apr 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 27OA00667600 | NJ |
| Optometrist | 152W00000X | TUV008483 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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