Ruthie Xin Ruan, O.D., PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2469 Issued in OK

Legal business name

RUTHIE XIN RUAN, O.D., PLLC

Doing business as

Circle of Life Eyecare Center

Practice address

3101 NW 164TH Ter
Edmond, OK 73013-9450

Phone

(405) 471-6220

Fax

(405) 471-6220

NPI assigned

Sep 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ruthie Xin Ruan, O.D.

Title

Owner

Phone

(405) 471-6220

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Circle of Life Eyecare Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Xin Ruan, O.D.

  • Optometrist
  • Edmond, OK
  • NPI 1225062367
  Medicare reassignment NPD

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1144327776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 NW 164TH TER",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730139450",
            "telephone_number": "405-471-6220",
            "fax_number": "405-471-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 NW 164TH TER",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730139450",
            "telephone_number": "405-471-6220",
            "fax_number": "405-471-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTHIE XIN RUAN, O.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "RUAN",
        "authorized_official_first_name": "RUTHIE",
        "authorized_official_middle_name": "XIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-471-6220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200068440A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Circle of Life Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Ruse, OTR
• Anna Martina Rush
• James Frank Russell, OD
• Logan Skye Russell
• Austin Tyler Russow
• William Ross Ryan, D.D.S.
• Rylan-Jagger Medical LLC (Santa Fe Clinic of Edmond)
• S David Cromwell MD PLLC
• Safenerve, LLC
• Sage Counseling Center

• Optometrist in Edmond, OK
• Providers in Edmond, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.