Individual provider Active NPI

Eric Ruta, O.D.

  • Optometrist
  • Glendale, AZ
National Provider Identifier
1639167083
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1309 Issued in AZ
Practice address
20329 N 59TH Ave
#8
Glendale, AZ 85308-6853
Phone
(623) 362-2349
Fax
(623) 362-2850
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 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 1309 AZ Primary

Addresses

Primary practice location

20329 N 59TH Ave
#8
Glendale, AZ 85308-6853

Mailing address

220 N McKemy Ave
Chandler, AZ 85226-2654
Phone (480) 961-1865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040923000107 AZ Practitioner - Optometry 3779551155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nationwide Optometry P.C.Group PAC ID 6901033075, 54 clinicians

Practice addresses (Care Compare)

2501 W Happy Valley Rd
32 1050
Phoenix, AZ 85085-3713
Phone (623) 869-0253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1309AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nationwide Optometry P.C. Optometrist CurrentSince Oct 1, 2013 Accepting new patients
Nationwide Optometry P.C. Optometrist Current Accepting new patients
Nationwide Optometry P.C. Optometrist CurrentSince Oct 1, 2013 Accepting new patients
Nationwide Optometry P.C. Optometrist Past Accepting new patients
Nationwide Optometry P.C. Optometrist PastSince Sep 1, 2022 Accepting new patients

Locations (25 of 59)

39508 N Daisy Mountain Dr
Ste 150
Anthem, AZ 85086
Phone (623) 551-6192

95 S Idaho Rd
Ste 170
Apache Junction, AZ 85119
Phone (480) 983-3438

10735 E Apache Trl
Ste 107
Apache Junction, AZ 85120
Phone (480) 354-7976

10485 W McDowell Rd
Ste 103
Avondale, AZ 85392
Phone (480) 908-1001

860 S Watson Rd
Ste 107
Buckeye, AZ 85326
Phone (623) 386-8802

2840 Highway 95
Ste 416418
Bullhead City, AZ 86442
Phone (928) 704-1808

1775 E Florence Blvd
Ste 2
Casa Grande, AZ 85122
Phone (520) 426-1600

2050 N Alma School Rd
Ste 14
Chandler, AZ 85224
Phone (480) 786-1075

4025 S Gilbert Rd
Ste 3
Chandler, AZ 85249
Phone (480) 988-6847

220 N McKemy Ave
Chandler, AZ 85226
Phone (480) 961-1865

801 S Milton Rd
Flagstaff, AZ 86001
Phone (928) 213-1400

6510 S Higley Rd
Ste 101
Gilbert, AZ 85298
Phone (480) 988-0765

1495 N Higley Rd
Ste 106
Gilbert, AZ 85234
Phone (623) 289-8962

1672 E Guadalupe Rd
Ste 111
Gilbert, AZ 85234
Phone (480) 892-6495

115 E Williams Field Rd
Gilbert, AZ 85295

20221 N 67th Ave
Ste E8
Glendale, AZ 85308
Phone (623) 362-2349

9524 W Camelback Rd
Ste 150
Glendale, AZ 85305
Phone (623) 872-8822

5026 W Cactus Rd
Ste 4
Glendale, AZ 85304
Phone (602) 547-9124

5707 W Northern Ave
Ste 106
Glendale, AZ 85301
Phone (602) 512-3299

14175 W Indian School Rd
Goodyear, AZ 85395
Phone (623) 536-2575

1170 N Estrella Pkwy
Ste A105
Goodyear, AZ 85338
Phone (623) 932-0428

18690 S Nogales Hwy
Ste 118
Green Valley, AZ 85614
Phone (520) 648-0698

7650 S 59th Ave
Ste 101
Laveen, AZ 85339
Phone (602) 237-3576

20928 N John Wayne Pkwy
Ste C6
Maricopa, AZ 85139
Phone (520) 316-4388

955 W Southern Ave
Ste 101
Mesa, AZ 85210
Phone (480) 961-1865

Interoperability endpoints

  • Direct secure messaging: dr.eric.ruta@direct.eyecare-partners.com
  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecaz

Organizations & group practices 5

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1639167083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N MCKEMY AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262654",
            "telephone_number": "480-961-1865",
            "fax_number": "480-961-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20329 N 59TH AVE",
            "address_2": "#8",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086853",
            "telephone_number": "623-362-2349",
            "fax_number": "623-362-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTA",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.