Gerrard Rudmin, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT604 Issued in ME

Practice address

81 Spring St
Dexter, ME 04930-1511

Phone

(207) 924-3444

NPI assigned

Nov 8, 2006

Last updated

Jan 16, 2008By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ME

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

New England College of Optometry, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Gerrard W Rudmin OD

  • Eyewear Supplier
  • Dexter, ME
  • NPI 1912171125
  Authorized official Same address or phone
• Vision Care of Maine LLC

  • Ambulatory Surgical Clinic/Center
  • Bangor, ME
  • NPI 1275629081
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1356410609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 166",
            "city": "DEXTER",
            "state": "ME",
            "postal_code": "049300166",
            "telephone_number": "207-924-3444",
            "fax_number": "207-924-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 SPRING ST",
            "city": "DEXTER",
            "state": "ME",
            "postal_code": "049301511",
            "telephone_number": "207-924-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDMIN",
        "first_name": "GERRARD",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT604",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "ME",
            "license": "OPT604",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "024257",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1042368",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamy L Parkhurst, MA CCC SLP
• Beverly Pooler
• Lisa Race, RN BSN
• Challa Vema Reddy, MD
• Rite Aid of Maine Inc (Rite Aid Pharmacy 03294)
• Sebasticook Family Doctors
• Elsie Rose Shaw
• Deborah A Six, PT
• Jennifer Smith
• Lisa A. Starkweather, FNP

• Optometrist in Dexter, ME
• Providers in Dexter, ME by specialty
• Optometrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.