Rust Dee Corey, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

327 Issued in NM

Practice address

1270 Kot-Num Rd
Box 1209
Warm Springs, OR 97756

Phone

(541) 553-2474

Fax

(541) 553-2162

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073623799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 SW 35TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977568333",
            "telephone_number": "541-553-2474",
            "fax_number": "541-553-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 KOT-NUM RD",
            "address_2": "BOX 1209",
            "city": "WARM SPRINGS",
            "state": "OR",
            "postal_code": "97756",
            "telephone_number": "541-553-2474",
            "fax_number": "541-553-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COREY",
        "first_name": "RUST",
        "middle_name": "DEE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Confederated Tribes of the Warm Springs Reservation of Oregon
• Confederated Tribes of the Warm Springs Reservation of Oregon
• Confederated Tribes of the Warm Springs Reservation of Oregon
• Confederated Tribes of Warm Springs Reservation of Oregon
• Kacey Elizabeth Conyers, MS, RD, LD
• Sandra Lynn Cota, RDH
• Thomas James Creelman, M.D.
• Jeannette Delosangeles, PHARMD
• Denise Marie Devore, RN BSN
• Raneva J Dowty, PA

• Optometrist in Warm Springs, OR
• Providers in Warm Springs, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.