Active NPI
Ryan Rudloff, OD
- Optometrist
- Sioux City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 092394
- Practice address
- 431 Pierce St
Sioux City, IA 51101 - Phone
- (402) 770-3158
- NPI assigned
- Jun 5, 2018
- Last updated
- Aug 27, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 092394 | IA | Primary |
Addresses
Primary practice location
431 Pierce St
Sioux City, IA 51101
Mailing address
580 Dexter Dr Apt 206
McCook Lake, SD 57049-4056
Phone (402) 770-3158
Other practice location 1
305 Dakota Dunes Blvd
Dakota Dunes, SD 57049-5176
Phone (605) 232-6900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Tower Rd
Suite 300
Dakota Dunes, SD 57049-5098
5500 Sergeant Rd
Suite 200
Sioux City, IA 51106-4716
Phone (605) 217-4500
600 N Sioux Point Rdsts
Dakota Dunes, SD 57049-5000
Phone 6052174500244500
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.17 of 100
- Quality
- 98.67
- Improvement activities
- 40
- Cost
- 65.67
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beth Bruening PC | Optometrist | Current | Accepting new patients |
| Beth Bruening PC | Optometrist | Current | Accepting new patients |
| TKC Optical, Inc. | Past | Accepting new patients | |
| Hawkeye Exact, LLC | Optometrist | Past | Accepting new patients |
Locations
5500 Sergeant Rd
Ste 200
Sioux City, IA 51106
Phone (605) 217-4500
101 Tower Rd
Ste 300
North Sioux City, SD 57049
Phone (605) 217-4500
600 N Sioux Point Rd
North Sioux City, SD 57049
Phone (605) 217-4320
Organizations & group practices 4
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.
-
dba Bruening Eye Specialists
- Ophthalmology Physician
- Dakota Dunes, SD
- NPI 1053446443
IA, Optometrist
-
dba Bruening Eye Specialists
- Ophthalmology Physician
- Sioux City, IA
- NPI 1932626033
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535328000000",
"number": "1114419009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 DEXTER DR APT 206",
"city": "MCCOOK LAKE",
"state": "SD",
"postal_code": "570494056",
"telephone_number": "402-770-3158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 PIERCE ST",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "51101",
"telephone_number": "402-770-3158"
}
],
"practiceLocations": [
{
"address_1": "305 Dakota Dunes Blvd",
"address_purpose": "LOCATION",
"city": "Dakota Dunes",
"state": "SD",
"postal_code": "570495176",
"country_code": "US",
"telephone_number": "605-232-6900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUDLOFF",
"first_name": "RYAN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-05",
"last_updated": "2018-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "092394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.