NPIMap

Organization Active NPI

Christopher R Rugaber OD LLC

Doing business as Chicora Eye Care

  • Optometrist
  • Chicora, PA
National Provider Identifier
1780638320
Registry record updated Feb 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000475 Issued in PA
Legal business name
CHRISTOPHER R RUGABER OD LLC
Doing business as
Chicora Eye Care
Practice address
104 W Slippery Rock St
Box 550
Chicora, PA 16025-3212
Phone
(724) 445-3901
Fax
(724) 445-0031
NPI assigned
May 19, 2006
Last updated
Feb 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2011

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

Authorized official

Name
Dr. Christopher Robert Rugaber, ODNPI 1548260532
Title
Member
Phone
(724) 445-3901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000475 PA Primary

Addresses

Primary practice location

104 W Slippery Rock St
Box 550
Chicora, PA 16025-3212

Mailing address

104 W Slippery Rock St
Box 550
Chicora, PA 16025-3212
Phone (724) 445-3901

Other identifiers 1

IdentifierTypeStateIssuer
DD 4305OtherMEDICAREPIN (RR)

Other names 1

  • Chicora Eye Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297468800000",
    "number": "1780638320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W SLIPPERY ROCK ST",
            "address_2": "BOX 550",
            "city": "CHICORA",
            "state": "PA",
            "postal_code": "160253212",
            "telephone_number": "724-445-3901",
            "fax_number": "724-445-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W SLIPPERY ROCK ST",
            "address_2": "BOX 550",
            "city": "CHICORA",
            "state": "PA",
            "postal_code": "160253212",
            "telephone_number": "724-445-3901",
            "fax_number": "724-445-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER R RUGABER OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-02-12",
        "status": "A",
        "authorized_official_last_name": "RUGABER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "724-445-3901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAREPIN (RR)",
            "identifier": "DD 4305",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chicora Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicora, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2011; 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.