Katherine Anne Ruecker, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2837ATI Issued in OR

Practice address

19325 NW Emma Way
Hillsboro, OR 97124-9004

Phone

(503) 531-3540

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Pacific University - College of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Katherine a. Ruecker, O.D. and Associates, P.C.Group PAC ID 5193011955, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Katherine a. Ruecker, O.D, & Associates, P.C.

  • Optometrist
  • Hillsboro, OR
  • NPI 1689025678
  Medicare reassignment Care Compare group NPD Authorized official
• Dr Crystal Edison OD & Associates PLLC

  dba Dr. Crystal Edison, O.D. & Associates

  • Optometrist
  • Brush Prairie, WA
  • NPI 1972175735
  NPD

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1518090745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 NW ALLIE AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971249079",
            "telephone_number": "503-531-3540",
            "fax_number": "503-439-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19325 NW EMMA WAY",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971249004",
            "telephone_number": "503-531-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUECKER",
        "first_name": "KATHERINE",
        "middle_name": "ANNE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2837ATI",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3693",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miquel Angel Ruano-Moreno, BS
• Jacqueline Rubinstein, PA
• Maya Rubinstein
• Tracy Louise Ruby, OTR/L, CHT
• Kristen Rueber, BSN, RN
• Linah Marasimio Rukwaro
• Kimberly Allison Rush
• Jill R Russell, D.O.
• Shantina Rust
• Richard A Rutt, PT, DPT

• Optometrist in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.