Duane P Rutz, OD
Individual provider Active NPI Optometrist · Hallock, MN
NPI 1790759090 · NPPES record last updated Apr 12, 2024
Key facts
- NPI
- 1790759090
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1836 (MN)
- Practice address
- 204 S Atlantic
Hallock, MN 56728 - Phone
- (218) 843-2663
- Fax
- (218) 843-2665
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kueber Eye Care PLLC
Wadena Eye Clinic LTD
Practice addresses (Care Compare)
110 Henrietta Ave N
Park Rapids, MN 56470-1764
Phone (218) 732-8535
222 1St St SE
Wadena, MN 56482-1567
Phone (218) 632-5058
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 27 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040123000005 | MN | Practitioner - Optometry | 5698677789 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2927 | MN | MD | Marriage & Family Therapist |
| 1836 | MN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wadena Eye Clinic LTD | Optometrist | Current |
Accepting new patients |
| Kueber Eye Care PLLC | Optometrist | Current |
Accepting new patients |
| Bruhn Optical Inc | Past |
Accepting new patients |
Locations
1011 1st St E
Ste 1
Park Rapids, MN 56470
Phone (218) 732-8535
110 Henrietta Ave N
Park Rapids, MN 56470
Phone (218) 732-8535
1011 1st St E
Park Rapids, MN 56470
Phone (218) 252-3333
222 1st St SE
Wadena, MN 56482
Phone (218) 631-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1836 | MN | Yes |
Addresses
Primary practice location
204 S Atlantic
Hallock, MN 56728
Mailing address
PO Box 549
Park Rapids, MN 56470-0549
Phone (218) 732-8535
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 63520MC | Other | BCBS OF MN | |
| 553718500 | Medicaid | MN |
Other providers in Hallock, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.