Individual provider Active NPI

Joseph Ruskiewicz, OD

  • Optometrist
  • Pottstown, PA
National Provider Identifier
1396735668
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000164 Issued in PA
Practice address
1100 Heritage Dr
Pottstown, PA 19464-9216
Phone
(610) 326-2754
Fax
(610) 326-6456
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000164 PA Primary

Addresses

Primary practice location

1100 Heritage Dr
Pottstown, PA 19464-9216

Mailing address

1100 Heritage Dr
Pottstown, PA 19464-9216
Phone (610) 326-2754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20090505000411 PA Practitioner - Optometry 2163570953 Reassigns benefits to 2 organizations
Practice locations: Pottstown, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000164PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Valley Community Health, Inc. CurrentSince Jan 1, 2017 Accepting new patients
New Path Vision of Pottstown LLC Optometrist CurrentSince Dec 1, 2021 Accepting new patients
Delaware Valley Community Health, Inc. CurrentSince Jan 1, 2017 Accepting new patients
Pennsylvania College of Optometry Optometrist Past Accepting new patients

Locations

1412 Fairmount Ave
Philadelphia, PA 19130
Phone (215) 235-9600

1100 Heritage Dr
Sanatoga, PA 19464
Phone (610) 326-2754

Interoperability endpoints

  • Direct secure messaging: jruskiewicz@josephruskiewicz.eyefinity-direct.com

Organizations & group practices 4

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1396735668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HERITAGE DR",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194649216",
            "telephone_number": "610-326-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 HERITAGE DR",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194649216",
            "telephone_number": "610-326-2754",
            "fax_number": "610-326-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSKIEWICZ",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.