Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710969480 Individual Practitioner Male Practitioner

Dr. Charles Duane Radebaugh , OD

Optometrist • Springfield, OR

Professional Overview & Biography Verified Profile Summary

Dr. Charles Radebaugh, OD is a registered healthcare professional specializing in Optometrist in Springfield, OR. Practice services are available at 1800 CENTENNIAL BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1800 Centennial Blvd
Suite 2

Springfield, OR 974774385

Telephone 5417265055
Associated Practice Facility / Clinic
🏢 Ppc Group Llc Facility NPI 1508190661

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Springfield, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.8 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
13 Specialists

Practicing in Springfield, OR (975 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OR 1193T

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License WA 3463

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
167197 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1427098755

Doctor of Optometry

NPI 1922333913

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2026

Optometrist (License #1193T in OR)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1800 CENTENNIAL BLVD, SUITE 2, SPRINGFIELD, OR 974774385 (Tel: 5417265055)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1800 CENTENNIAL BLVD, SUITE 2, SPRINGFIELD, OR 974774385 (Tel: 5417265055)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CHARLES RADEBAUGH, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #1193T in OR)

🟢
Initial NPI Registration & Enumeration November 17, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710969480
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 17, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

1800 Centennial Blvd, Suite 2

Springfield, OR 974774385

Phone: 5417265055

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.