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NORMAN D. RADTKE MD PSC NPI 1992813810


NPI Information

NPI: 1992813810
Provider Name: NORMAN D. RADTKE, MD, PSC

Doing Business As: RETINA VITREOUS RESOURCE CENTER

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
3 AUDUBON PLAZA DR
SUITE 240
LOUISVILLE, KY
ZIP 40217
Phone: (502) 636-2823
Get Directions

NORMAN D. RADTKE, MD, PSC is an ophthalmology in Louisville, KY. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. NORMAN D. RADTKE, MD, PSC NPI is 1992813810. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Retina Vitreous Resource Center.

The provider's business location address is:

3 AUDUBON PLAZA DR
SUITE 240
LOUISVILLE, KY
ZIP 40217-319
Phone: (502) 636-2823
Fax: (502) 634-1646

The provider's authorized official is Norman D. Radtke .
The authorized official title is Owner/physician and has the following contact phone number (502) 636-2823.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 8/26/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology20988KENTUCKYNo
2207W00000XOphthalmology01035488AINDIANANo
3207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100003470AMEDICAIDINDIANA
2100003470FMEDICAIDINDIANA
364209885MEDICAIDKENTUCKY
4100003470BMEDICAIDINDIANA
5100003470DMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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