Individual provider Active NPI

Rulxner John Alex Dumornay

  • Optician
  • Hyde Park, MA
National Provider Identifier
1336905512
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DOP100029 Issued in MA
Practice address
680 Truman Hwy
Hyde Park, MA 02136-3518
Phone
(617) 272-3212
NPI assigned
Feb 26, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X DOP100029 MA Primary

Addresses

Primary practice location

680 Truman Hwy
Hyde Park, MA 02136-3518

Mailing address

31A Hunt St
Brockton, MA 02302-2746
Phone (857) 504-5504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DOP100029MAMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Jamoptical LLC Optician CurrentSince Oct 27, 2024 Accepting new patients

Locations

680 Truman Hwy
Hyde Park, MA 02136
Phone (617) 272-3212

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": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1336905512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31A HUNT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022746",
            "telephone_number": "857-504-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 TRUMAN HWY",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021363518",
            "telephone_number": "617-272-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMORNAY",
        "first_name": "RULXNER",
        "middle_name": "JOHN ALEX",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-26",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MA",
            "license": "DOP100029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyde Park, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.