Ruckman Eyecare PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

638 Issued in NV

Legal business name

RUCKMAN EYECARE PC

Doing business as

Eastern Sierra Eyecare

Practice address

111 W Tenth St
Carson City, NV 89703-5201

Phone

(775) 883-4664

NPI assigned

May 16, 2011

Last updated

Jan 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raymond J Ruckman, ODNPI 1134106842

Title

President/Optometrist

Phone

(775) 461-6179

Specialties & licenses 6

Addresses

Other names 1

• Eastern Sierra Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in NV2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 5

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.

• Raymond James Ruckman, OD

  • Optometrist
  • Carson City, NV
  • NPI 1134106842
  Medicare reassignment Care Compare group NPD Authorized official
• Jeanette Cross

  • Optometrist
  • Carson City, NV
  • NPI 1235847492
  Medicare reassignment Care Compare group NPD
• Jeanette M Lam, O.D.

  • Optometrist
  • Carson City, NV
  • NPI 1700928645
  Medicare reassignment Care Compare group NPD
• Matthew Farnsworth, OD

  • Optometrist
  • Carson City, NV
  • NPI 1861381964
  NPD
• John H Staub, OD

  • Optometrist
  • Carson City, NV
  • NPI 1326154659
  NPD (past)

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1265724884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W TENTH ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897035201",
            "telephone_number": "775-883-4664",
            "fax_number": "775-883-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W TENTH ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897035201",
            "telephone_number": "775-883-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUCKMAN EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "RUCKMAN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "775-461-6179",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "638",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NV",
            "license": "638",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NV",
            "license": "638",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "NV",
            "license": "638",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NV",
            "license": "638",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "NV",
            "license": "638",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Sierra Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tina Lynn Roter
• Amy Evelynn Rothenberg
• Kimberly Rothenberg
• Nina Routon, PT, DPT
• Routt Dialysis LLC (Carson City Dialysis Center)
• Raymond James Ruckman, OD
• Sara Elizabeth Runge
• Richard Duane Runyan Jr., PH.D.
• Mikka Runyon, COTA/L
• Michael Rupert

• Optometrist in Carson City, NV
• Providers in Carson City, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.