Active NPI
Madison Moore Ruelle, O.D.
- Optometrist
- Shawnee, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1989
- Practice address
- 15951 W 65TH St
Shawnee, KS 66217-9342 - Phone
- (913) 268-9190
- Fax
- (913) 268-2654
- NPI assigned
- Jun 19, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1989 | KS | Primary |
Addresses
Primary practice location
15951 W 65TH St
Shawnee, KS 66217-9342
Mailing address
15951 W 65TH St
Shawnee, KS 66217-9342
Phone (913) 268-9190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18208 W 119TH St
Olathe, KS 66061-9507
Phone (913) 261-8327
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Associates of South Overland Park | Optometrist | Current | Accepting new patients |
| Eye Associates of Overland Park PA | Optometrist | Current | Accepting new patients |
| Eye Associates of North Overland Park | Optometrist | Current | Accepting new patients |
| Ridgeview Eye Care LLC | Optometrist | Current | Accepting new patients |
| Eye Associates of Olathe PA | Optometrist | Current | Accepting new patients |
| Eye Associates of Shawnee PA | Optometrist | Current | Accepting new patients |
| Ad Astra Eye, LLC | Past | Accepting new patients | |
| Acuity Vision Center LLC | Optometrist | Past | Accepting new patients |
Locations
18208 W 119th St
Olathe, KS 66061
Phone (913) 261-8327
15257 W 135th St
Olathe, KS 66062
Phone (913) 780-9696
8925 Metcalf Ave
Overland Park, KS 66212
Phone (913) 261-9985
10120 W 119th St
Overland Park, KS 66213
Phone (913) 339-9090
8029 W 159th St
Overland Park, KS 66223
Phone (913) 339-9090
15951 W 65th St
Shawnee, KS 66217
Phone (913) 268-9190
9479 Meadow View Dr
Shawnee, KS 66227
Phone (785) 424-8805
Interoperability endpoints
- madison.ruelle.1@16003.direct.athenahealth.com
Organizations & group practices 11
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.
-
- Optometrist
- Olathe, KS
- NPI 1679123590
-
- Ophthalmology Physician
- Lawrence, KS
- NPI 1770016727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667779200000",
"number": "1609280429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15951 W 65TH ST",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662179342",
"telephone_number": "913-268-9190",
"fax_number": "913-268-2654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15951 W 65TH ST",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662179342",
"telephone_number": "913-268-9190",
"fax_number": "913-268-2654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUELLE",
"first_name": "MADISON",
"middle_name": "MOORE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-19",
"last_updated": "2022-11-07",
"certification_date": "2022-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "1989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shawnee, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.