Neshia Renae Rudd is a Optometrist in Tyler, Texas. Neshia Renae Rudd practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Neshia Renae Rudd is 1083727770. The last update date is 2022-09-27.
Neshia Renae Rudd's current location address is 4139 S Broadway Ave, Tyler, Texas. You can contact this provider via phone number 9035819651. The mailing address for Neshia Renae Rudd is 4139 S Broadway Ave, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Neshia Renae Rudd |
|---|---|
| Address | 4139 S Broadway Ave, Tyler, Texas |
| Phone Number | 9035819651 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1083727770 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2022-09-27 |
Provider Mailing Address Detail
| Address | 4139 S Broadway Ave |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757018720 |
| Phone Number | 9035819651 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 5643TG |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00371W | TX | GROUP PTAN | |
| 752948352 | TX | TAX ID | |
| 5634TG | TX | LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Neshia Renae Rudd by the Centers for Medicare & Medicaid Services?
The Neshia Renae Rudd has been assigned the NPI (National Provider Identifier) 1083727770. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Neshia Renae Rudd is physically located?
The Neshia Renae Rudd is physically situated at the following address: 4139 S Broadway Ave, Tyler, TX, 757018720.
What is Neshia Renae Rudd's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Neshia Renae Rudd is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
When was the Neshia Renae Rudd's 1083727770 issued?
The Neshia Renae Rudd's 1083727770 was issued on 2006-08-16.
As of what date was the information regarding Neshia Renae Rudd, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Neshia Renae Rudd, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-09-27.