Individual provider Active NPI

Denver Rushing, O.D.

  • Optometrist
  • Ardmore, OK
National Provider Identifier
1205026952
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2542 Issued in OK
Practice address
1702 N Commerce St
Ste, a
Ardmore, OK 73401-1525
Phone
(580) 223-5300
Fax
(580) 223-5356
NPI assigned
Jul 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2542 OK Primary

Addresses

Primary practice location

1702 N Commerce St
Ste, a
Ardmore, OK 73401-1525

Mailing address

1702 N Commerce St
Ste, a
Ardmore, OK 73401-1525
Phone (580) 223-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071029000527 OK Practitioner - OptometryPractitioner - Ophthalmology 6305933979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OptometryAlso: Ophthalmology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1122 Walnut Dr
Ardmore, OK 73401-2353
Phone (580) 223-5300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ardmore Vision & Laser Eye Center PC Optometrist CurrentSince May 1, 2012 Accepting new patients

Locations

1122 Walnut Dr
Ardmore, OK 73401
Phone (580) 223-5300

1702 N Commerce St
Ste A
Ardmore, OK 73401
Phone (580) 223-5300

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1205026952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 N COMMERCE ST",
            "address_2": "STE, A",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011525",
            "telephone_number": "580-223-5300",
            "fax_number": "580-223-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 N COMMERCE ST",
            "address_2": "STE, A",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011525",
            "telephone_number": "580-223-5300",
            "fax_number": "580-223-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSHING",
        "first_name": "DENVER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.