Steven E Ruhenkamp, OD
Individual provider Active NPI Optometrist · Versailles, OH
NPI 1649229196 · NPPES record last updated Oct 10, 2008
Key facts
- NPI
- 1649229196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4676 (OH)
- Practice address
- 10484 Kley Rd
Suite D
Versailles, OH 45380-9561 - Phone
- (937) 526-3206
- Fax
- (937) 526-3203
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
418 Marker Rd
Versailles, OH 45380-9325
Phone (937) 526-3206
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050922000130 | OH | Practitioner - Optometry | 8820022874 | Practice locations: Versailles, OH |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4676 | OH | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4676 | OH | Yes |
Addresses
Primary practice location
10484 Kley Rd
Suite D
Versailles, OH 45380-9561
Mailing address
10484 Kley Rd
Suite D
Versailles, OH 45380-9561
Phone (937) 526-3206
Other providers in Versailles, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.