Nichole T Rudowski, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TN2597 Issued in TN

Practice address

1618 Lee Victory Pkwy
Smyrna, TN 37167-6529

Phone

(615) 462-6835

Fax

(615) 462-6836

NPI assigned

Feb 13, 2007

Last updated

Oct 28, 2022By 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 1

Addresses

Other names 1

• Nichole Tranas Other name

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Optometry

Education

Southern College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Tennessee LLCGroup PAC ID 1759646995, 45 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Myeyedr Optometry of Tennessee, LLC

  dba MyEyeDr.

  • Optometrist
  • Chattanooga, TN
  • NPI 1619481587
  Medicare reassignment Care Compare group NPD
• Rudowski Eyecare, PLLC

  • Optometrist
  • Smyrna, TN
  • NPI 1194058677
  Authorized official Same address or phone
• Myeyedr Optometry of Tennesse, LLC

  dba MyEyeDr.

  • Optometrist
  • Nolensville, TN
  • NPI 1275164147
  NPD
• Myeyedr Optometry of Tennessee, LLC

  • Optometrist
  • Mount Juliet, TN
  • NPI 1588516918
  NPD

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1730221813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 LEE VICTORY PKWY",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676529",
            "telephone_number": "615-462-6835",
            "fax_number": "615-462-6836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOWSKI",
        "first_name": "NICHOLE",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "TN2597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLE",
            "last_name": "TRANAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Angela E Rubley
• Chastity Lynn Rucker, DDS
• Ruco Orthodontics LLC
• John Daniel Rudd, M.D.
• Rudowski Eyecare, PLLC
• Ashley Marie Ruiz, BCBA
• Jennifer Ann-Price Runtal, MA
• Carolina Wren Russell, NP
• Rachel Celese Russell, MOT OTR L
• Ricky Dale Russell, DDS

• Optometrist in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.