Rebecca Delmoral Rudolfer, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 3197 Issued in FL

Practice address

2506 N Monroe St
Tallahassee, FL 32303-4026

Phone

(850) 792-4512

Fax

(850) 792-6019

NPI assigned

Mar 27, 2006

Last updated

Apr 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Rebecca Del Moral Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• RDR Optometric Care, PA

  • Optometrist
  • Tallahassee, FL
  • NPI 1790210375
  NPD (past) Authorized official
• James D Hagen OD PA

  • Optometrist
  • Miami, FL
  • NPI 1942483144
  NPD (past)
• North Florida Regional Eyecare, PA

  • Ophthalmology Physician
  • Tallahassee, FL
  • NPI 1790845337
  NPD (past)
• North Florida Regional Eyecare, PA

  • Ophthalmology Physician
  • Tallahassee, FL
  • NPI 1902190895

  Optometrist

  NPD (past)
• South Florida Vision Services, Inc.

  dba South Florida Vision Centers

  • Optometrist
  • Fort Lauderdale, FL
  • NPI 1912032566
  NPD (past)

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1669432241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 GREYSTONE LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323126004",
            "telephone_number": "850-322-1505",
            "fax_number": "850-792-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 N MONROE ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323034026",
            "telephone_number": "850-792-4512",
            "fax_number": "850-792-6019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 Apalachee Pkwy",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323115330",
            "country_code": "US",
            "telephone_number": "850-792-4512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2120 Apalachee Pkwy",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323014819",
            "country_code": "US",
            "telephone_number": "850-792-4512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Mike Stewart",
            "address_purpose": "LOCATION",
            "city": "Crawfordville",
            "state": "FL",
            "postal_code": "323271164",
            "country_code": "US",
            "telephone_number": "850-792-4512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDOLFER",
        "first_name": "REBECCA",
        "middle_name": "DELMORAL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "1669432241",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620496100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "DEL MORAL",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Herbert B Rubin, M.D.
• Howard Rubin, ARNP
• Jamilyn Ruckman, LCSW
• Michael A Rudd, M.S. CCC-SLP
• Kristen R Rudewicz-McKenzie, L.M.T
• Callie Rudy
• Chantal Ruiz
• Christopher Rumana, M.D.
• Faith P Rupkalvis
• Rural Urgent Care LLC (MainStreet Family Care)

• Optometrist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.