Christopher Alan Ruzicka, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

8844T Issued in CA

Practice address

4180 Treat Blvd
Ste B
Concord, CA 94518-1858

Phone

(925) 682-0319

Fax

(925) 676-0966

NPI assigned

Aug 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

University of California - School of Optometry, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christopher a Ruzicka and Laura LaceyGroup PAC ID 9739208406, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Christopher a Ruzicka & Laura Lacey

  • Optometrist
  • Concord, CA
  • NPI 1477749265
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1992813414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 TREAT BLVD",
            "address_2": "STE B",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945181858",
            "telephone_number": "925-682-0319",
            "fax_number": "925-676-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 TREAT BLVD",
            "address_2": "STE B",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945181858",
            "telephone_number": "925-682-0319",
            "fax_number": "925-676-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUZICKA",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8844T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liesha Marie Russo
• Kelsey Elizabeth Ruszel, RD
• Jeffery Rutherford
• Melinda Ruvalcaba
• Davina Ruvolo
• Shadi Ryad, DDS
• Marlena Patrice Ryan
• Michael Ann Ryan, R.N.
• Shane Robert Ryan
• Stacey Ryan

• Optometrist in Concord, CA
• Providers in Concord, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.

Verify at the official NPI Registry.