Organization Active NPI

Rudowski Eyecare, PLLC

  • Optometrist
  • Smyrna, TN
National Provider Identifier
1194058677
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2597 Issued in TN
Legal business name
RUDOWSKI EYECARE, PLLC
Practice address
1618 Lee Victory Pkwy
Smyrna, TN 37167-6529
Phone
(615) 462-6835
Fax
(615) 462-6836
NPI assigned
Sep 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Authorized official

Name
Dr. Nichole Tranas Rudowski, O.D.
Title
Optometrist
Phone
(615) 462-6835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2597 TN Primary

Addresses

Primary practice location

1618 Lee Victory Pkwy
Smyrna, TN 37167-6529

Mailing address

1618 Lee Victory Pkwy
Smyrna, TN 37167-6529
Phone (615) 462-6835

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1194058677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 LEE VICTORY PKWY",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676529",
            "telephone_number": "615-462-6835",
            "fax_number": "615-462-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 LEE VICTORY PKWY",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676529",
            "telephone_number": "615-462-6835",
            "fax_number": "615-462-6836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUDOWSKI EYECARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "RUDOWSKI",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "TRANAS",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "615-462-6835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.