Richard Orlando Rue, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1985 Issued in WA

Practice address

19205 State Route 410 E
Wal-Mart Vision Center
Bonney Lake, WA 98391-6305

Phone

(253) 826-9156

Fax

(253) 826-9158

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932211422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20225 97TH CT S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980311473",
            "telephone_number": "253-856-7573",
            "fax_number": "253-826-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19205 STATE ROUTE 410 E",
            "address_2": "WAL-MART VISION CENTER",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983916305",
            "telephone_number": "253-826-9156",
            "fax_number": "253-826-9158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUE",
        "first_name": "RICHARD",
        "middle_name": "ORLANDO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "5364RU",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "RU6632",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Bonney Lake, WA
• Providers in Bonney Lake, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.