Indre Rudaitis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046008357 Issued in IL

Practice address

3100 Ogden Ave
Lisle, IL 60532

Phone

(630) 527-1920

Fax

(630) 527-0125

NPI assigned

Feb 16, 2007

Sex

Female

Sole proprietor

Yes

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 IL

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

Illinois College of Optometry at Chicago, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Specialists of Illinois SCGroup PAC ID 0042118804, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: indre.rudaitis.p1@direct.eyespecialistsofil.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Eye Specialists of Illinois, S.C,

  • Ophthalmology Physician
  • Park Ridge, IL
  • NPI 1033169784
  Medicare reassignment Care Compare group NPD
• Progressive Eye Care SC

  • Ophthalmology Physician
  • Lisle, IL
  • NPI 1811097728
  Medicare reassignment
• Ridge Optical

  • Durable Medical Equipment & Medical Supplies
  • Park Ridge, IL
  • NPI 1376656686

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801930789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 OGDEN AVE",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "60532",
            "telephone_number": "630-527-1920",
            "fax_number": "630-527-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 OGDEN AVE",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "60532",
            "telephone_number": "630-527-1920",
            "fax_number": "630-527-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDAITIS",
        "first_name": "INDRE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Michael Ramos Rosal, P.T.
• Christina M. Roscoe, RN
• Rosin Optical Co. Inc. (Choice Eye Care)
• Megan J Rossi, PT, DPT
• Giselle Renee Roszkowski, LCPC
• Raymond Ruginis, DC
• Nicole Rungren
• Kimberly Ann Russell
• Kayla Dawn Rusterholtz, M.S., A.T.C.
• Melissa Saenz

• Optometrist in Lisle, IL
• Providers in Lisle, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.