Rudd Vision PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

RUDD VISION PLLC

Practice address

2910 S Meridian Ste 300
Puyallup, WA 98373-1283

Phone

(360) 791-8404

Fax

(360) 791-8404

NPI assigned

Aug 9, 2024

Organization subpart

No

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

Authorized official

Name

Jay RuddNPI 1699726687

Title

Owner/Ceo

Phone

(360) 791-8404

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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

• Jay Charles Rudd, MD

  • Ophthalmology Physician
  • Puyallup, WA
  • NPI 1699726687
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1861223091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 S MERIDIAN STE 300",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983731283",
            "telephone_number": "360-791-8404",
            "fax_number": "360-791-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 S MERIDIAN STE 300",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983731283",
            "telephone_number": "360-791-8404",
            "fax_number": "360-791-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUDD VISION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "RUDD",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "360-791-8404"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kadie Denae Rubio, D.C
• Vianey Angel Rubio, MSW
• Dana Michelle Ruch, CN
• Melissa Leanne Ruchalski, LMP
• Rebecca Sara Rucker, DPT, OCS, CSCS
• Jay Charles Rudd, MD
• Rauna Ruhser, CCC-SLP
• Edwin Ruiz, PA-C
• Rachel Elizabeth Running, PT
• Scott Runyon, PT, DPT

• Ophthalmology Physician in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Ophthalmology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.