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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRETT K RADOW, O.D.

Deactivated Sole Proprietor

BRETT K RADOW, O.D. is a Optometrist healthcare provider located in SPENCER, West Virginia. NPI 1154315992 is deactivated in the NPPES registry. Verify at CMS.

Optometrist · SPENCER, WV

This NPI has been deactivated. The record was deactivated on March 25, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1154315992
Provider Type
Individual
Gender
Male
NPI Issued
Sep 8, 2005 (0.54246575342466 yrs)
Last Updated
Feb 9, 2023
Deactivated
Mar 25, 2006
License
WV0730 (WV)
Sole Proprietor
Yes

Practice Information

Address
149 MAIN ST
SPENCER, WV, 252761414
Browse WV providers · Browse ZIP 25276
Phone
3049275112
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in SPENCER, WV

Name Credential NPI
DR. THOMAS P MC LAUGHLIN O.D. 1093786063
DR. HARRY F. ANDERSON O.D. 1659340206
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.