Individual provider Active NPI

Jay Charles Rudd, MD

  • Ophthalmology Physician
  • Puyallup, WA
National Provider Identifier
1699726687
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD00038444 Issued in WA
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

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060203000014 WA Practitioner - Ophthalmology 5698789279 Reassigns benefits to 1 organization

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 100Reported as group
Quality
100
Improvement activities
40
Cost
76.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00038444WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RV Surg LLC CurrentSince Dec 15, 2024 Accepting new patients
Rudd Vision PLLC Ophthalmology CurrentSince Feb 1, 2024 Accepting new patients

Locations

2910 S Meridian
Ste 300
Puyallup, WA 98373
Phone (253) 650-0908

Interoperability endpoints

  • Direct secure messaging: jrudd@ruddvision.emadirect.md
  • Direct secure messaging: jrudd@auroralasik.intellechartdirect.net
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.