Individual
DR. MATTHEW LEE RADKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
928 3RD AVE, SHELDON, IA 51201-1549
(712) 324-2552
(712) 324-2553
Mailing address
928 3RD AVE, SHELDON, IA 51201-1549
(712) 324-2552
(712) 324-2553
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02078
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0145177
—
IA
01
—
0280586
MEDICAID GROUP SHELDON
IA
01
—
33330
WELLMARK GROUP SHELDON
IA
01
—
410031358
RR MEDICARE INDV SHELDON
IA
01
—
56024
WELLMARK INDV SHELDON
IA
01
—
CS7580
RR MEDICARE-GROUP SHELDON
IA
01
—
I7584
MEDICARE GROUP SHELDON
IA
Enumeration date
02/08/2006
Last updated
11/19/2025
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