ROGER L RADELL O D INCORPORATED P C
NPI 1275753550
Optometrist in Prague, OK
About Roger L Radell O D Incorporated P C NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROGER L RADELL O D INCORPORATED P C (NPI 1275753550) is a healthcare organization registered as an optometrist in Prague, Oklahoma and active in the NPI registry since April 2007. The organization lists Roger Lee Radell, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Roger L Radell O D Incorporated P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Roger L Radell O D Incorporated P C, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Roger L Radell O D Incorporated P C's NPI number?
The NPI number for Roger L Radell O D Incorporated P C is 1275753550. It was assigned to this organization in the NPPES registry on April 27, 2007.
Where is Roger L Radell O D Incorporated P C located?
Roger L Radell O D Incorporated P C is located at 915 9th Street, Prague, OK 74864. The listed phone number is (405) 567-2261.
What is Roger L Radell O D Incorporated P C's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Roger L Radell O D Incorporated P C enrolled in Medicare?
Yes. Roger L Radell O D Incorporated P C is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Roger L Radell O D Incorporated P C?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Roger L Radell O D Incorporated P C. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Roger L Radell O D Incorporated P C was last updated on April 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Roger L Radell O D Incorporated P C · NPI 1275753550
Optometrist organization in Prague, Oklahoma. Organization record, active in the CMS NPPES registry since April 27, 2007.
## Identity
- **NPI:** 1275753550 (Entity type: Organization)
- **Enumerated:** April 27, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Roger Radell, PRESIDENT
## Practice location
- **Address:** 915 9TH STREET, Prague, OK 74864-0507
- **Phone:** (405) 567-2261
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 1, 2016
- **Other identifiers:** Other 1275753550; Medicaid 200618310A (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1275753550) · Data from the CMS NPPES public registry.