Individual
DR. MICHAEL JOHN RADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6044 PARKMEADOW LN, SUITE B, HILLIARD, OH 43026-7406
(614) 876-2686
(614) 876-2687
Mailing address
6044 PARKMEADOW LN, SUITE B, HILLIARD, OH 43026-7406
(614) 876-2686
(614) 876-2687
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OH3303
OH
152WC0802X
Corneal and Contact Management Optometrist
Primary
3303 T964
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0366152
—
OH
01
—
410002935
RAILROAD MEDICARE
OH
Enumeration date
11/09/2006
Last updated
10/08/2015
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