Active NPI
Jay Charles Rudd, MD
- Ophthalmology Physician
- Puyallup, WA
National Provider Identifier
1699726687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD00038444
- Practice address
- 2910 S Meridian Ste 300
Puyallup, WA 98373-1283 - Phone
- (253) 650-0908
- Fax
- (253) 319-4089
- NPI assigned
- May 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cornea and External Diseases Specialist Physician | 207WX0120X | MD00038444 | WA | |
| Ophthalmology Physician | 207W00000X | MD00038444 | WA | Primary |
Addresses
Primary practice location
2910 S Meridian Ste 300
Puyallup, WA 98373-1283
Mailing address
2910 S Meridian Ste 300
Puyallup, WA 98373-1283
Phone (360) 791-8404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Jefferson Medical College of Thomas Jefferson University, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2910 S Meridian
Suite 300
Puyallup, WA 98373-1283
Phone (253) 650-0908
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.08 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 76.93
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 135 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00038444 | WA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RV Surg LLC | Current | Accepting new patients | |
| Rudd Vision PLLC | Ophthalmology | Current | Accepting new patients |
Locations
2910 S Meridian
Ste 300
Puyallup, WA 98373
Phone (253) 650-0908
Interoperability endpoints
- jrudd@ruddvision.emadirect.md
- jrudd@auroralasik.intellechartdirect.net
- jrudd@clarus.direct.eyemdemr.com
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Puyallup, WA
- NPI 1861223091
-
- Ambulatory Surgical Clinic/Center
- Puyallup, WA
- NPI 1437965910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739836800000",
"number": "1699726687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 S MERIDIAN STE 300",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983731283",
"telephone_number": "360-791-8404",
"fax_number": "360-791-8404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 S MERIDIAN STE 300",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983731283",
"telephone_number": "253-650-0908",
"fax_number": "253-319-4089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDD",
"first_name": "JAY",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-13",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0120X",
"taxonomy_group": "",
"desc": "Ophthalmology, Cornea and External Diseases Specialist",
"state": "WA",
"license": "MD00038444",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "MD00038444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.