IAN THOMAS RADFORD (NPI# 1700093366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700093366 |
| Entity Type | Individual |
| Full Name | IAN THOMAS RADFORD |
| Credential | LDO,CPO |
| Practice Address |
3500 Oleander Dr Wilmington NC 28403-0811 |
| Practice Telephone | 9103822020 |
| Practice Fax Number | 9103501715 |
| Mailing Telephone | 9103822020 |
| Mailing Fax Number | 9103501715 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2017-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
1822 | NC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NC OPTICIAN LISCENSE | 1822 | 01 |
| Street Address |
3500 OLEANDER DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-0811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073657383 | Sheila Cassioli Cooper | Optometrist | 3500 Oleander Dr, Suite B-10, Wilmington, NC 28403-0811 | 2007-02-19 |
| 1568734515 | Stephen Randall Baker | Hearing Instrument Specialist | 3500 Oleander Dr, Wilmington, NC 28403-0811 | 2012-02-07 |
| 1013221100 | Baker Hearing Center L.L.C. | Hearing Instrument Specialist | 3500 Oleander Dr, Wilmington, NC 28403-0811 | 2010-07-30 |
| 1578660601 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 3500 Oleander Dr, Westfield S/c, Wilmington, NC 28403-0811 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568754505 | Usv Optical Inc. | Technician/Technologist | 2131 Kirkwood Highway, Wilmington, DE 19805 | 2011-05-10 |
| 1124207840 | Ronnie Cleon Newkirk Sr. | Technician/Technologist | 4300 Deer Creek Ln, Wilmington, NC 28405 | 2007-10-30 |
| 1780704767 | Specs for Less | Technician/Technologist | 811 N Market St, Wilmington, DE 19801-3053 | 2007-03-31 |
| 1558497396 | Coastal Eyeworks Incorporated | Technician/Technologist | 6836 Market St, Wilmington, NC 28405-9723 | 2007-02-26 |
| 1023176096 | Kathryn Brown Cordle | Technician/Technologist | 8068 Market St, Wilmington, NC 28411-9384 | 2006-12-04 |
| 1104998723 | Robert Hazen | Technician/Technologist | 4750 Limestone Rd, Wilmington, DE 19808-1928 | 2006-11-15 |
| 1457361602 | Wal-mart Stores East, Lp | Technician/Technologist | 2825 S State Route 73, Wilmington, OH 45177-7710 | 2006-08-09 |
| 1619936275 | Douglas Lee Bayse | Technician/Technologist | 2226 S 17th St, Wilmington, NC 28401-7515 | 2006-03-22 |
| 1417334939 | Wal-mart Stores East, Lp | Technician/Technologist | 8035 Market St, Wilmington, NC 28411 | 2015-05-05 |
| 1134521123 | America's Best Contacts & Eyeglasses | Technician/Technologist | 344 S College Rd, Wilmington, NC 28403-1632 | 2014-09-22 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on IAN THOMAS RADFORD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.