Neshia Renae Rudd, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5643TG Issued in TX

Practice address

4139 S Broadway Ave
Tyler, TX 75701-8720

Phone

(903) 534-8349

Fax

(903) 581-8203

NPI assigned

Aug 16, 2006

Last updated

Sep 27, 2022By the provider in NPPES

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 names 1

• Dr. Neshia Renae Rudd Professional name

Medicare fee-for-service enrollment

Enrolled in TX

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

University of Houston - College of Optometry, 1998

Medicare assignment

May accept Medicare assignment

Group practices

Tyler Eye Care, P.a.Group PAC ID 2567450653, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Tyler Eye Care, P.a.

  dba Todays Vision

  • Corneal and Contact Management Optometrist
  • Tyler, TX
  • NPI 1861615254
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1083727770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4139 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018720",
            "telephone_number": "903-581-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4139 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018720",
            "telephone_number": "903-534-8349",
            "fax_number": "903-581-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDD",
        "first_name": "NESHIA",
        "middle_name": "RENAE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5643TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NESHIA",
            "last_name": "RUDD",
            "middle_name": "RENAE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Royal Day Care
• Holly Michelle Rozelle, MSN, APRN, FNP-BC
• Ashley Elizabeth Rubin, LPC
• R Britt Ruby, DDS
• Kirsten Renee Rucker
• Amanda Ruesewald, PHARMD
• Monica Ruiz-Olloqui
• Brian Ruiz, DO, MS
• Laura Runnels
• Pamela Rushing

• Optometrist in Tyler, TX
• Providers in Tyler, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.