Organization
AFTEL & RADER, OPTOMETRISTS, P.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE THOMAS RADER O.D. (OWNER)
(757) 488-0192
Entity
Organization
Contact information
Practice address
5913 PORTSMOUTH BLVD, PORTSMOUTH, VA 23701-1445
(757) 488-0192
(757) 488-4567
Mailing address
5913 PORTSMOUTH BLVD, PORTSMOUTH, VA 23701-1445
(757) 488-0192
(757) 488-4567
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000333
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009231064
—
VA
01
—
229196
MAMSI- G. THOMAS RADER,OD
VA
01
—
25074
OPTIMA/G. THOMAS RADER,OD
VA
01
—
261285
BCBS/G. THOMAS RADER,O.D.
VA
01
—
410033892
MEDICARE-RAILROAD
VA
Enumeration date
10/09/2006
Last updated
04/15/2009
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