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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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