Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Radoslav Ivanov, OD

Individual provider Optometrist · NPI 1093120701

Radoslav Ivanov, OD is an Optometry in Allentown, Pennsylvania. Qualified in 2014, 12 years ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
12
Licensed in
PA
In the registry since
2014
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

401 N 17th St Ste 103
Allentown, PA 18104-5034
Phone: (610) 969-3070
Fax: (610) 969-3073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OEG002925 (PA)

Record details

NPI number1093120701
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 23, 2014
Last updated in NPPESMay 30, 2016
Mailing address401 N 17th St, Suite 103, Allentown, PA 18104-5034

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Lehigh Valley Physician Group — 2493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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