Alexzandra Rudinoff Roth, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.006777 Issued in OH

Practice address

2311 Hayes Ave
Suite B
Fremont, OH 43420-2634

Phone

(419) 334-8121

Fax

(419) 332-9351

NPI assigned

May 22, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ms. Alexzandra A Rudinoff Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Toledo Society for the BlindGroup PAC ID 1254393044, 3 clinicians

Eye Centers of Northwest Ohio LLCGroup PAC ID 0446314892, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.38 of 100Reported as group

Quality

97.11

Improvement activities

40

Cost

78.46

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drrudinoff@eyecentersofnwohio.eyeclinicdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eye Centers of Northwest Ohio LLC

  • Optometrist
  • Fremont, OH
  • NPI 1124284518
  Medicare reassignment Care Compare group NPD
• Toledo Society for the Blind

  dba The Sight Center of Northwest Ohio

  • Optometrist
  • Toledo, OH
  • NPI 1922103209
  Medicare reassignment Care Compare group NPD
• Michael D Hipsher, OD

  • Durable Medical Equipment & Medical Supplies
  • Fostoria, OH
  • NPI 1184896888
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1053978361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 HAYES AVE",
            "address_2": "SUITE B",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434202634",
            "telephone_number": "419-334-8121",
            "fax_number": "419-332-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 HAYES AVE",
            "address_2": "SUITE B",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434202634",
            "telephone_number": "419-334-8121",
            "fax_number": "419-332-9351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 Parkway Dr",
            "address_purpose": "LOCATION",
            "city": "Fostoria",
            "state": "OH",
            "postal_code": "448301573",
            "country_code": "US",
            "telephone_number": "419-435-3482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1002 Garden Lake Pkwy",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436142780",
            "country_code": "US",
            "telephone_number": "419-720-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "ALEXZANDRA",
        "middle_name": "RUDINOFF",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0375568",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Q00246380",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.eyeclinic.net",
            "affiliation": "N",
            "endpointDescription": "Symantec - Server Based Solution",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2311 Hayes Ave",
            "city": "Fremont",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434202634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALEXZANDRA",
            "last_name": "RUDINOFF",
            "middle_name": "A",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jenny Lee Rogers
• Alexandra Krystal Rojas, CNP
• Alyssa Rene Rollins
• Jordan Kristopher Romick, DO
• Dawn Marie Rosenberger, LPCC
• Mary Ruhe, NP
• Karrie Ann Ruiz
• Anthony Rusher, DPM
• Steven A Rusher, DPM
• Dorota Sylwia Rytwinski, M.D.

• Optometrist in Fremont, OH
• Providers in Fremont, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.