Matthew D Ruzicka OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OH 5090 / T1969 Issued in OH

Legal business name

MATTHEW D RUZICKA OD LLC

Practice address

2343 W Main St
Troy, OH 45373-8484

Phone

(937) 339-2020

Fax

(937) 339-2332

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Matthew David Ruzicka, ODNPI 1285724443

Title

Managing Member

Phone

(937) 339-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Insightful Eyewear Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew David Ruzicka, O.D.

  • Optometrist
  • Troy, OH
  • NPI 1285724443
  Medicare reassignment NPD Authorized official
• Carolyn J. Davis, OD

  • Optometrist
  • Troy, OH
  • NPI 1821173097
  NPD (past)
• Steven Michael Grout, O.D.

  • Optometrist
  • Centerville, OH
  • NPI 1043405624
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1851481022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 S MARKET ST",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453733218",
            "telephone_number": "937-339-2020",
            "fax_number": "937-339-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2343 W MAIN ST",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453738484",
            "telephone_number": "937-339-2020",
            "fax_number": "937-339-2332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 S Market St",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453733218",
            "country_code": "US",
            "telephone_number": "937-339-2020",
            "fax_number": "937-339-2332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MATTHEW D RUZICKA OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "RUZICKA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "937-339-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OH 5090 / T1969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "9350111",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Insightful Eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abigail Martin
• Jackie Michelle Martin, OTR/L
• Maggie May Mason, COTA/L
• Leona K Massie, LPN
• Kaitlin Mathews
• Domina M Matthews Page, LSW
• Tammy Mayberry
• Breann McCabe, CNP
• Janis McCoy
• Christina J McCuistion, CDCA

• Optometrist in Troy, OH
• Providers in Troy, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.