Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHARLES DUANE RADEBAUGH O.D.
NPI 1710969480
Optometrist in Springfield, OR

Active since November 17, 2005
1800 CENTENNIAL BLVD, SUITE 2, SPRINGFIELD, OR 97477(541) 726-5055 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Duane Radebaugh O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES DUANE RADEBAUGH O.D. (NPI 1710969480) is an individual optometrist in Springfield, Oregon, licensed in Oregon (1193T) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1710969480
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameCHARLES DUANE RADEBAUGHCredential: O.D.
Location Address1800 CENTENNIAL BLVD, SUITE 2Springfield, OR 97477-4385
Mailing Address1800 Centennial Blvd, Suite 2Springfield, OR 97477-4385 · (541) 726-5055
Sole ProprietorNo
Enumeration DateNovember 17, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1710969480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in OR · 1193T Licensed in WA · 3463
Definition
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.
1800 CENTENNIAL BLVD, Springfield, OR 97477

Other Identifiers 1

Medicaid167197OR

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1800 CENTENNIAL BLVD
SPRINGFIELD, OR 97477
Family Medicine
1800 CENTENNIAL BLVD
SPRINGFIELD, OR 97477
Counselor (Mental Health)
1800 CENTENNIAL BLVD
SPRINGFIELD, OR 97477
Physician Assistant
1800 CENTENNIAL BLVD
SPRINGFIELD, OR 97477
Clinic/Center (Primary Care)
1800 CENTENNIAL BLVD, SUITE #6
SPRINGFIELD, OR 97477
Health Educator
1800 CENTENNIAL BLVD
SPRINGFIELD, OR 97477
Social Worker (Clinical)
1800 CENTENNIAL BLVD
SPRINGFIELD, OR 97477
Family Medicine
1800 CENTENNIAL BLVD, 6
SPRINGFIELD, OR 97477

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 Charles Radebaugh's NPI number?

The NPI number for Charles Radebaugh is 1710969480. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Charles Radebaugh located?

Charles Radebaugh practices at 1800 Centennial Blvd Suite 2, Springfield, OR 97477. The listed phone number is (541) 726-5055.

What is Charles Radebaugh's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Charles Radebaugh was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.