Active NPI
Alan Frederick Ruedi, OD
- Optometrist
- Lake Zurich, IL
National Provider Identifier
1811967946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-006246
- Practice address
- 92 E Main St
Lake Zurich, IL 60047-3204 - Phone
- (847) 438-6966
- Fax
- (847) 438-7977
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046-006246 | IL | Primary |
Addresses
Primary practice location
92 E Main St
Lake Zurich, IL 60047-3204
Mailing address
92 E Main St
Lake Zurich, IL 60047-3204
Phone (847) 438-6966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-006246 | IL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278892800000",
"number": "1811967946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 E MAIN ST",
"city": "LAKE ZURICH",
"state": "IL",
"postal_code": "600473204",
"telephone_number": "847-438-6966",
"fax_number": "847-438-7977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 E MAIN ST",
"city": "LAKE ZURICH",
"state": "IL",
"postal_code": "600473204",
"telephone_number": "847-438-6966",
"fax_number": "847-438-7977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUEDI",
"first_name": "ALAN",
"middle_name": "FREDERICK",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2010-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046-006246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Zurich, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.