CHARLES DUANE RADEBAUGH O.D.
NPI 1710969480
Optometrist in Springfield, OR
- Individual
- Male
- Optometrist
About CHARLES RADEBAUGH
This page provides the complete NPI Profile along with additional information for Charles Radebaugh, a provider established in Springfield, Oregon with a medical specialization in Optometrist. The healthcare provider is registered in the NPI registry with number 1710969480 assigned on November 2005. The practitioner's primary taxonomy code is 152W00000X with license number 1193T (OR). The provider is registered as an individual and his NPI record was last updated July 2026.
- NPI
- 1710969480 Verify this NPI
- Provider Name
- CHARLES DUANE RADEBAUGH O.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1800 CENTENNIAL BLVD SUITE 2 SPRINGFIELD, OR 97477
- Location Phone
- (541) 726-5055
- Mailing Address
- 1800 CENTENNIAL BLVD SUITE 2 SPRINGFIELD, OR 97477
- Mailing Phone
- (541) 726-5055
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-17-2005
- Last Update Date
- 07-13-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Optometrist
- Taxonomy Code
- 152W00000X
- Type
- Eye and Vision Services Providers
- License No.
- 1193T
- License State
- OR
- Taxonomy Description
- Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 152W00000X | Eye and Vision Services Providers | Optometrist | 3463 (WA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 167197 | MEDICAID (05) | OR |
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Other Providers at the Same Location
The following 13 providers are registered at the same or a nearby location.
SPRINGFIELD, OR 97477
SPRINGFIELD, OR 97477
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710969480, enumerated as an "individual" on November 17, 2005.
The provider is located at 1800 CENTENNIAL BLVD SUITE 2 SPRINGFIELD, OR 97477 and the phone number is (541) 726-5055.
Optometrist with taxonomy code 152W00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
