Individual provider Active NPI

Maria C Ruduski - Downey, O.D.

  • Optometrist
  • Shillington, PA
National Provider Identifier
1679543664
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000210 Issued in PA
Practice address
453 E Lancaster Ave
Shillington, PA 19607-1371
Phone
(610) 775-3321
Fax
(610) 775-8542
NPI assigned
Jan 24, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000210 PA Primary

Addresses

Primary practice location

453 E Lancaster Ave
Shillington, PA 19607-1371

Mailing address

453 E Lancaster Ave
Shillington, PA 19607
Phone (610) 775-3321

Other practice location 1

4119C Mauch Chunk Rd
Coplay, PA 18037-2106
Phone (610) 799-2020

Other identifiers 1

IdentifierTypeStateIssuer
P00016043OtherPARAILROAD MEDICARE

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
I20100322000219 PA Practitioner - Optometry 8325173982 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renny S Sardella OD PCGroup PAC ID 3072008184, 2 clinicians
Margaret a. Shirk O.D. and Associates IncGroup PAC ID 7911050885, 2 clinicians
Shillington Eye AssociatesGroup PAC ID 6002892940, 4 clinicians

Practice addresses (Care Compare)

1810 E Lincoln Hwy
Coatesville, PA 19320-2408
Phone (610) 466-9909

2514 Ridge Rd
Elverson, PA 19520-9017
Phone (610) 913-0126

453 E Lancaster Ave
Shillington, PA 19607-1371
Phone (610) 775-3321

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shillington Eye Associates Optometrist CurrentSince Aug 14, 2017 Accepting new patients
Margaret a. Shirk O.D. & Associates Inc. Optometrist CurrentSince Aug 29, 2024 Accepting new patients
Renny S Sardella OD PC Optometrist CurrentSince Jan 1, 2026 Accepting new patients
Surgical Eye Care LTD PastSince May 10, 2018 Accepting new patients
Andrews Eye Corporation Optometrist PastSince Jan 1, 2018 Accepting new patients

Locations

1810 E Lincoln Hwy
Coatesville, PA 19320
Phone (610) 466-9909

2514 Ridge Rd
Elverson, PA 19520
Phone (610) 913-0126

Interoperability endpoints

  • Direct secure messaging: maria.downey@shillingtoneye.eyefinity-direct.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1679543664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 E LANCASTER AVE",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "19607",
            "telephone_number": "610-775-3321",
            "fax_number": "610-775-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 E LANCASTER AVE",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196071371",
            "telephone_number": "610-775-3321",
            "fax_number": "610-775-8542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4119C Mauch Chunk Rd",
            "address_purpose": "LOCATION",
            "city": "Coplay",
            "state": "PA",
            "postal_code": "180372106",
            "country_code": "US",
            "telephone_number": "610-799-2020",
            "fax_number": "610-799-4399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDUSKI - DOWNEY",
        "first_name": "MARIA",
        "middle_name": "C",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00016043",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shillington, PA

Sources for this page

Verify at the official NPI Registry.