Organization Active NPI

Walter F Rutkowsky O D PA

  • Optometrist
  • Bradenton, FL
National Provider Identifier
1730358524
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1555 Issued in FL
Legal business name
WALTER F RUTKOWSKY O D PA
Practice address
5005 Manatee Ave W
Bradenton, FL 34209-3857
Phone
(941) 794-1315
Fax
(941) 792-5034
NPI assigned
Feb 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Authorized official

Name
Walter F Rutkowsky, O.D.
Title
Owner
Phone
(941) 794-1315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC1555 FL Primary

Addresses

Primary practice location

5005 Manatee Ave W
Bradenton, FL 34209-3857

Mailing address

5005 Manatee Ave W
Bradenton, FL 34209-3857
Phone (941) 794-1315

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1730358524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093857",
            "telephone_number": "941-794-1315",
            "fax_number": "941-792-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093857",
            "telephone_number": "941-794-1315",
            "fax_number": "941-792-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER F RUTKOWSKY O D PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "RUTKOWSKY",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-794-1315",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.