Don Alan Rademaker
Optometrist
Building 2840, Bastogne Ave.
Fort Campbell
, Kentucky 42223
Don Alan Rademaker
Optometrist
Building 2840, Bastogne Ave.
Fort Campbell
, Kentucky 42223
(270) 640-6347
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Don Alan Rademaker
- Building 2840, Bastogne Ave.
- Fort Campbell, KY
- Zip : 42223
- Fax : (270) 640-6347
- Phone : (270) 640-4699
Second Address
- Don Alan Rademaker
- Building 2840, Bastogne Ave.
- Fort Campbell, KY
- Zip : 42223
- Fax : (270) 640-6347
- Phone : (270) 640-4699
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1479DT | KY |
National Provider Identifier
| NPI | 1003918053 |
|---|---|
| Provider Name | Don Alan Rademaker |
| First Address | Fort Campbell, KY 42223 |
| Second Address | Fort Campbell, KY 42223 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/09/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U81890 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.