Individual provider Active NPI

Sloane Rudolf, OD, MS

  • Optometrist
  • Dayton, OH
National Provider Identifier
1942823349
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.006845 Issued in OH
Practice address
4100 W 3Rd St
Dayton, OH 45428-9000
Phone
(937) 268-6511
NPI assigned
May 20, 2020
Last updated
Apr 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.006845 OH Primary

Addresses

Primary practice location

4100 W 3Rd St
Dayton, OH 45428-9000

Mailing address

3602 Grinnell Rd
Yellow Springs, OH 45387-9722
Phone (937) 903-9844

Other practice location 1

89 Sylvania Dr
Dayton, OH 45440-3281
Phone (937) 320-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210416001642 OH Practitioner - Optometry 3375951023 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cei Physicians PSC, LLCGroup PAC ID 0749186427, 155 clinicians

Practice addresses (Care Compare)

89 Sylvania Dr
Beavercreek, OH 45440-3281
Phone (513) 569-3741

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Management Group LLC Optometrist CurrentSince Jul 1, 2023 Accepting new patients
Cei Physicians PSC, LLC CurrentSince Jun 12, 2024 Accepting new patients
Cei Physicians PSC LLC Optometrist CurrentSince Jun 12, 2024 Accepting new patients
Cei Physicians PSC LLC Past Accepting new patients

Locations

1945 Cei Dr
Blue Ash, OH 45242

77 E Woodbury Dr
Dayton, OH 45415
Phone (937) 276-2020

77 E Woodbury Dr
Ste 100
Dayton, OH 45415
Phone (937) 274-2117

80 E Woodbury Dr
Dayton, OH 45415
Phone (937) 320-2020

89 Sylvania Dr
Dayton, OH 45440
Phone (937) 320-2020

315 N Breiel Blvd
Middletown, OH 45042
Phone (513) 424-0339

265 N Liberty St
Powell, OH 43065
Phone (614) 793-0700

22 Remick Blvd
Springboro, OH 45066
Phone (937) 748-2720

Interoperability endpoints

  • Direct secure messaging: sloane.rudolf.p1@direct.cei.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1942823349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 GRINNELL RD",
            "city": "YELLOW SPRINGS",
            "state": "OH",
            "postal_code": "453879722",
            "telephone_number": "937-903-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W 3RD ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454289000",
            "telephone_number": "937-268-6511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "89 Sylvania Dr",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454403281",
            "country_code": "US",
            "telephone_number": "937-320-2020",
            "fax_number": "937-320-0504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDOLF",
        "first_name": "SLOANE",
        "credential": "OD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.