Rebecca L Rudisill, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001237 Issued in PA

Practice address

2553 E Market St
York, PA 17402-2403

Phone

(717) 757-5632

NPI assigned

Jul 27, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yealy Eye East York, LLCGroup PAC ID 9537553862, 3 clinicians

Yealy Eye Centerville LLCGroup PAC ID 3375911944, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Yealy Eye Centerville LLC

  dba Yealy Eye Care & Dry Eye Center of Lancaster

  • Optometrist
  • Lancaster, PA
  • NPI 1891443057
  Medicare reassignment Care Compare group NPD
• Yealy Eye East York, LLC

  dba Yealy Eye Care & Dry Eye Center of York

  • Optometrist
  • York, PA
  • NPI 1215695994
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Pennsylvania, LLC

  dba MyEyeDr.

  • Optometrist
  • Carlisle, PA
  • NPI 1003264607
  Medicare reassignment NPD
• Yealy Eye, LLC

  dba Yealy Eye Care and Dry Eye Center of Lancaster

  • Optometrist
  • Lancaster, PA
  • NPI 1700276656
  Medicare reassignment NPD
• Myeyedr Optometry of Pennsylvania, LLC

  • Optometrist
  • Cranberry Township, PA
  • NPI 1093688491
  NPD
• Myeyedr Optometry of Pennsylvania, LLC

  dba MyEyeDr.

  • Optometrist
  • Lancaster, PA
  • NPI 1144717091
  NPD
• America's Best Contacts & Eyeglasses

  • Optician
  • Lancaster, PA
  • NPI 1497786222
  NPD (past)
• Delaware Valley Vision Associates Group Practice, LLC

  • Ophthalmology Physician
  • King of Prussia, PA
  • NPI 1902907371
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487678157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 LOUCKS RD",
            "address_2": "SUITE 653",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174084609",
            "telephone_number": "717-764-8705",
            "fax_number": "717-767-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2553 E MARKET ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022403",
            "telephone_number": "717-757-5632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Loucks Rd",
            "address_2": "Suite 653",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174084609",
            "country_code": "US",
            "telephone_number": "717-764-8705",
            "fax_number": "717-767-5680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDISILL",
        "first_name": "REBECCA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "27162",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VBA",
            "identifier": "PA97402",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIMARK BLUE SHIELD",
            "identifier": "RU1518210",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "06688006",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014782270002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "PA1237",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruby Home Health Inc
• Stacey Ruccio, PHARMD
• Emily Ruch, PSYD
• Aaron Rudd, DO
• Craig Richard Ruder, MD
• Trisha Marie Rudisill, PHARM.D.
• Robert Rudolph, RPH
• Nicole Ruffin, MA
• Praphul T. Ruit, D.P.T.
• Sonam T. Ruit, D.P.M.

• Optometrist in York, PA
• Providers in York, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.