Active NPI
Rudyna Beydoun, OD
- Optometrist
- Taylor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901005169
- Practice address
- 23000 Eureka Rd
Taylor, MI 48180-6039 - Phone
- (734) 374-8500
- Fax
- (734) 374-0957
- NPI assigned
- Dec 5, 2018
- Last updated
- Dec 5, 2018
- Sex
- Female
- 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 | 4901005169 | MI | Primary |
Addresses
Primary practice location
23000 Eureka Rd
Taylor, MI 48180-6039
Mailing address
23728 Cherry Hill St
Dearborn, MI 48124-1418
Phone (914) 588-3196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- International American University at Puerto Rico - School of Optometry, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1736 W Michigan Ave
Jackson, MI 49202-4005
Phone (517) 789-7131
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fortney Eyecare Associates Inc | Optometrist | Current | Accepting new patients |
| West Point Optical Group | Optometrist | Current | Accepting new patients |
| West Point Optical Group | Optometrist | Past | Accepting new patients |
| West Point Optical Group | Optometrist | Past | Accepting new patients |
Locations
654 Briarwood Cir
Ann Arbor, MI 48108
Phone (734) 761-8300
23469 Michigan Ave
Dearborn, MI 48124
Phone (313) 565-5600
4576 Miller Rd
Flint, MI 48507
Phone (810) 732-4100
1736 W Michigan Ave
Jackson, MI 49202
Phone (517) 789-7131
30981 5 Mile Rd
Livonia, MI 48154
Phone (734) 522-3000
2875 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 852-5230
32987 Woodward Ave
Royal Oak, MI 48073
Phone (248) 549-9080
21304 Eureka Rd
Taylor, MI 48180
Phone (734) 287-4300
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Novi, MI
- NPI 1831548890
-
- Optometrist
- Dearborn, MI
- NPI 1508970310
-
- Optometrist
- Ann Arbor, MI
- NPI 1073983698
-
- Optometrist
- Rochester Hills, MI
- NPI 1770953390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543968000000",
"number": "1902377765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23728 CHERRY HILL ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481241418",
"telephone_number": "914-588-3196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23000 EUREKA RD",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481806039",
"telephone_number": "734-374-8500",
"fax_number": "734-374-0957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEYDOUN",
"first_name": "RUDYNA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-05",
"last_updated": "2018-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901005169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taylor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.