Kimberly K Rutkowski, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3131-35 Issued in WI

Practice address

1220 Parkwood Dr
Wisconsin Rapids, WI 54494-5488

Phone

(715) 421-2111

Fax

(715) 421-2123

NPI assigned

Apr 24, 2007

Sex

Female

Sole proprietor

No

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.

• Myeyedr Optometry of Wisconsin, LLC

  • Optometrist
  • Kenosha, WI
  • NPI 1164992996
  Medicare reassignment Care Compare group NPD Optometrist, WI
• Myeyedr Optometry of Wisconsin, LLC

  • Optometrist
  • West Allis, WI
  • NPI 1710632864
  Care Compare group NPD Optometrist
• Jeffrey L. Morer, OD, PC

  • Optometrist
  • Brookfield, WI
  • NPI 1326079716
  Medicare reassignment WI
• Myeyedr Optometry of Wisconsin, LLC

  • Optometrist
  • Wisconsin Rapids, WI
  • NPI 1801460563
  NPD Optometrist
• Family Focused Vision Care, LLC

  • Optometrist
  • Sherwood, WI
  • NPI 1356386155
  NPD (past) Optometrist
• Shopko Stores Operating Co LLC

  • Community/Retail Pharmacy
  • Eau Claire, WI
  • NPI 1720034176
  NPD (past)
• Shoptikal LLC

  • Eyewear Supplier
  • Spokane, WA
  • NPI 1154987535
  NPD (past) Optometrist

Specialty

Optometry

Education

Pacific University - College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Wisconsin LLC 27 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in WI

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 7, 2024.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1659599587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 DIVISION ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811834",
            "telephone_number": "715-344-5355",
            "fax_number": "715-344-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 PARKWOOD DR",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544945488",
            "telephone_number": "715-421-2111",
            "fax_number": "715-421-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTKOWSKI",
        "first_name": "KIMBERLY",
        "middle_name": "K",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3131-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roundys Supermarkets Inc
• Daniel Robert Rubio III, MD
• Rachel Rucinski
• Beth Ann Ruehl, MA CADCIII
• Wendy Ruesch, RDH,CDHC
• Jessica Ryan, COTA
• Brian Sadler, LPC
• Lori Ann Saeger, PHARMD
• Corrina Sambs, PHARMD
• Jeanne Louise Sammartino

• All providers in Wisconsin Rapids, WI
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.