Individual provider Active NPI

Rufaro P Mudzinganyama, O.D

  • Optometrist
  • Cincinnati, OH
National Provider Identifier
1770896524
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.5964-THER Issued in OH
Practice address
4825 Marburg Ave Unit a
Cincinnati, OH 45209-5013
Phone
(513) 322-3140
Fax
(513) 826-4073
NPI assigned
Jul 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.5964-THER OH Primary

Addresses

Primary practice location

4825 Marburg Ave Unit a
Cincinnati, OH 45209-5013

Mailing address

4825 Marburg Ave Unit a
Cincinnati, OH 45209-5013
Phone (513) 322-3140

Other names 1

  • Rufaro P Mboko Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20140409002199 OH Practitioner - Optometry 5496987208 Practice locations: Middletown, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.5964-THEROHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rufaro Mudzinganyama and Associates LLC Optometrist PastSince Jul 7, 2016 Accepting new patients

Organizations & group practices 1

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": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1770896524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 MARBURG AVE UNIT A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452095013",
            "telephone_number": "513-322-3140",
            "fax_number": "513-826-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 MARBURG AVE UNIT A",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452095013",
            "telephone_number": "513-322-3140",
            "fax_number": "513-826-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDZINGANYAMA",
        "first_name": "RUFARO",
        "middle_name": "P",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.5964-THER",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUFARO",
            "last_name": "MBOKO",
            "middle_name": "P",
            "credential": "O.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.