Individual provider Active NPI

Joseph Jeffrey Rudinsky, O.D.

  • Optometrist
  • Charleroi, PA
National Provider Identifier
1659358257
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001415 Issued in PA
Practice address
218 Lincoln Avenue Ext
Charleroi, PA 15022-3080
Phone
(724) 483-2777
NPI assigned
Dec 27, 2005
Last updated
Jul 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001415 PA Primary

Addresses

Primary practice location

218 Lincoln Avenue Ext
Charleroi, PA 15022-3080

Mailing address

5913 Kings School Rd
5913 Kings School Road
Bethel Park, PA 15102-3367
Phone (724) 483-2777

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110912000450 PA Practitioner - Optometry 8820269459 Practice locations: Washington, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1659358257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5913 KINGS SCHOOL RD",
            "address_2": "5913 KINGS SCHOOL ROAD",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151023367",
            "telephone_number": "724-483-2777",
            "fax_number": "412-831-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 LINCOLN AVENUE EXT",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "150223080",
            "telephone_number": "724-483-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDINSKY",
        "first_name": "JOSEPH",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleroi, PA

Sources for this page

Verify at the official NPI Registry.