Jessica Ruxton, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2107 Issued in KS

Practice address

746 N Maize Rd Ste 100
Wichita, KS 67212-4571

Phone

(316) 665-7647

NPI assigned

Jul 3, 2019

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

Medicare fee-for-service enrollment

Enrolled in CO

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

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Colorado Eye Care Associates PCGroup PAC ID 7214055672, 4 clinicians

Bright Eyes Vision Clinic PC a Colorado Professional CorporationGroup PAC ID 7113813106, 10 clinicians

Southern Colorado Eye CareGroup PAC ID 9739314618, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Bright Eyes Vision Clinic PC a Colorado Professional Corporation

  • Optometrist
  • Canon City, CO
  • NPI 1679525208
  Medicare reassignment Care Compare group NPD
• Southern Colorado Eye Care

  • Optometrist
  • Pueblo West, CO
  • NPI 1376983924
  Medicare reassignment Care Compare group NPD
• Southern Colorado Eye Care Associates PC

  • Optometrist
  • Pueblo, CO
  • NPI 1679744841
  Medicare reassignment Care Compare group NPD
• Bright Eyes Vision Clinic PC a Colorado Professional Corporation

  • Optometrist
  • Thornton, CO
  • NPI 1568063881
  NPD

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1770145385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 FORTINO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081856",
            "telephone_number": "719-542-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 N MAIZE RD STE 100",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672124571",
            "telephone_number": "316-665-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUXTON",
        "first_name": "JESSICA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Rutherford
• Tahnoqua Rutledge, LMSW
• Keely Rutschman
• Leasha R. Rutschman, LMSW
• Krista Ruvalcaba
• Ryan & Denise Dopps, PA
• Ryan Grenier LLC
• Lewis Aaron Ryan, RN
• Timmon Hayley Ryan, PA-C
• Warren S Ryan, PA

• Optometrist in Wichita, KS
• Providers in Wichita, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.