Clayton William Rutkowski, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9376T Issued in TX

Practice address

1205 Hwy 290 E
Elgin, TX 78621-2018

Phone

(512) 285-2015

NPI assigned

Aug 16, 2018

Last updated

Aug 16, 2018By the provider in NPPES

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

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, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elgin Vision PLLC

  • Optometrist
  • Elgin, TX
  • NPI 1467826057
  Medicare reassignment NPD Authorized official
• Manor Vision PLLC

  • Optometrist
  • Manor, TX
  • NPI 1871006965
  Medicare reassignment NPD
• Belton Eye Care Center

  dba Belton Vision

  • Optometrist
  • Belton, TX
  • NPI 1427325968
  NPD

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1093295305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 E. PARMER LANE",
            "address_2": "APT 5332",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 HWY 290 E",
            "city": "ELGIN",
            "state": "TX",
            "postal_code": "786212018",
            "telephone_number": "512-285-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTKOWSKI",
        "first_name": "CLAYTON",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9376T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy M Robertson, DDS
• Brent Allen Roper, R.PH.
• Bridget Roper, R.PH.
• Allison Rosen, OTR
• Mario Angel Ruiz
• Scott B Herring DDS PLLC
• Ariel Jimenez Segura, MSN, APRN, FNP-C
• Senior Connections of Texas PLLC
• Serve All Medical Elgin PLLC
• Kenneth Brooks Sherman, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.