NPIMap

Organization Active NPI

Terry a. Rudensey, O.D., PLLC

  • Optometrist
  • Silverdale, WA
National Provider Identifier
1972849370
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1928 TX Issued in WA
Legal business name
TERRY A. RUDENSEY, O.D., PLLC
Practice address
10000 Mickelberry Rd NW
Silverdale, WA 98383-8302
Phone
(360) 308-2132
NPI assigned
Dec 13, 2012
Last updated
Dec 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Authorized official

Name
Terry Rudensey, O.D.NPI 1528259355
Title
Member
Phone
(360) 308-2132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1928 TX WA Primary

Addresses

Primary practice location

10000 Mickelberry Rd NW
Silverdale, WA 98383-8302

Mailing address

10000 Mickelberry Rd NW
Silverdale, WA 98383-8302
Phone (360) 308-2132

National Provider Directory

National Provider Directory

Locations

10000 Mickelberry Rd NW
Silverdale, WA 98383
Phone (360) 308-2116

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1972849370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 MICKELBERRY RD NW",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838302",
            "telephone_number": "360-308-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 MICKELBERRY RD NW",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838302",
            "telephone_number": "360-308-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY A. RUDENSEY, O.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-13",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "RUDENSEY",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "360-308-2132",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1928 TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.