Matthew David Ruzicka, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OH 5090 / T 1969 Issued in OH

Practice address

4 S Market St
Troy, OH 45373-3218

Phone

(937) 339-2020

Fax

(937) 339-2332

NPI assigned

Oct 16, 2006

Last updated

Feb 17, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Matthew D Ruzicka OD LLC

  dba Insightful Eyewear

  • Optometrist
  • Troy, OH
  • NPI 1851481022
  Medicare reassignment NPD Authorized official
• Dr. D. Michael Dopkiss & Associates Inc.

  • Optometrist
  • Columbus, OH
  • NPI 1548348881
  NPD (past)
• Premier Health Specialists Inc

  dba Advanced Ankle and Foot Specialists

  • Foot & Ankle Surgery Podiatrist
  • Dayton, OH
  • NPI 1902211287
  NPD (past)
• Truitt &Truitt Optometrists Inc

  • Optometrist
  • Marysville, OH
  • NPI 1891729620
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1285724443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 S MARKET ST",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453733218",
            "telephone_number": "937-339-2020",
            "fax_number": "937-339-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 S MARKET ST",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453733218",
            "telephone_number": "937-339-2020",
            "fax_number": "937-339-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUZICKA",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OH 5090 /  T 1969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000353804",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Ilene Rue
• Jennifer A Rue, LSW
• Kailee Summer Rue
• Michael Ruffin, LPCC LICDC
• Ryelee Christine Rutherford
• Ryan M. Subler, O.D., Inc.
• Tamila L Ryan
• Carriaretha Sain-Paschal, LSW
• Carol Salm
• Faith O. Salyer, OD

• Optometrist in Troy, OH
• Providers in Troy, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.

Verify at the official NPI Registry.