Active NPI
Daniel P. Rudnicki, O.D.
- Optometrist
- Lima, OH
National Provider Identifier
1861463226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3963-T630
- Practice address
- 1593 Allentown Rd
Lima, OH 45805-2205 - Phone
- (419) 228-9176
- Fax
- (419) 228-5935
- NPI assigned
- Feb 1, 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 | 3963-T630 | OH | Primary |
Addresses
Primary practice location
1593 Allentown Rd
Lima, OH 45805-2205
Mailing address
1593 Allentown Rd
Lima, OH 45805-2205
Phone (419) 228-9176
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3963-T630 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Center of Lima, LLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Lima, OH
- NPI 1194984310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378771200000",
"number": "1861463226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1593 ALLENTOWN RD",
"city": "LIMA",
"state": "OH",
"postal_code": "458052205",
"telephone_number": "419-228-9176",
"fax_number": "419-228-5935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1593 ALLENTOWN RD",
"city": "LIMA",
"state": "OH",
"postal_code": "458052205",
"telephone_number": "419-228-9176",
"fax_number": "419-228-5935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDNICKI",
"first_name": "DANIEL",
"middle_name": "P.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2013-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "3963-T630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.