Active NPI
William R Rudy, OD
- Optometrist
- Kent, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4310
- Practice address
- 2013 State Route 59
Kent, OH 44240-4113 - Phone
- (330) 678-0201
- Fax
- (330) 678-4272
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4310 | OH | Primary |
| Optometrist | 152W00000X | T305 | OH |
Addresses
Primary practice location
2013 State Route 59
Kent, OH 44240-4113
Mailing address
2013 State Route 59
Kent, OH 44240-4113
Phone (330) 678-0201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0239389 | Medicaid | OH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2013 State Route 59
Kent, OH 44240-4113
Phone (330) 678-0201
4277 Allen Rd
Stow, OH 44224-1053
Phone (330) 928-0201
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.48 of 100
- Quality
- 77.53
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 77.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4310 | OH | MD | Optometrist |
| T305 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Ohio Eye Surgeons, Inc. | Optometrist | Current | Accepting new patients |
| Northeast Ohio Eye Surgeons, Inc. | Optometrist | Current | Accepting new patients |
| Northeast Ohio Eye Surgeons, Inc. | Optometrist | Current | Accepting new patients |
Locations
4099 Embassy Pkwy
Akron, OH 44333
Phone (330) 835-1844
6880 W Snowville Rd
Ste 215
Brecksville, OH 44141
Phone (440) 526-1974
2013 State Route 59
Kent, OH 44240
Phone (330) 434-1185
4463 Weymouth Rd
Medina, OH 44256
Phone (330) 722-2150
4277 Allen Rd
Stow, OH 44224
Phone (330) 928-0201
Organizations & group practices 3
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
- Kent, OH
- NPI 1932208733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388707200000",
"number": "1972563047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2013 STATE ROUTE 59",
"city": "KENT",
"state": "OH",
"postal_code": "442404113",
"telephone_number": "330-678-0201",
"fax_number": "330-678-4272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2013 STATE ROUTE 59",
"city": "KENT",
"state": "OH",
"postal_code": "442404113",
"telephone_number": "330-678-0201",
"fax_number": "330-678-4272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDY",
"first_name": "WILLIAM",
"middle_name": "R",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2014-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "4310",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "T305",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0239389",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kent, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.