Dr Grady Patrick Rup, OD in Montgomery, TX - Medicare Optometry Provider

Dr Grady Patrick Rup, OD is a medicare enrolled "Optometrist" provider in Montgomery, Texas. He went to University Of Houston - College Of Optometry and graduated in 2023 and has 2 years of diverse experience with area of expertise as Optometry. He is a member of the group practice First Texas Optometric Pc, Clara Vista Eyecare and his current practice location is 19792 Highway 105 W Ste 300, Montgomery, Texas. You can reach out to his office (for appointments etc.) via phone at (936) 220-4313.

Dr Grady Patrick Rup is licensed to practice in Texas (license number 10916) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063191252.

Contact Information

	Dr Grady Patrick Rup, OD
	19792 Highway 105 W Ste 300, Montgomery, TX 77356-6107
	(936) 220-4313
	(936) 220-4312

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Grady Patrick Rup
Gender	Male
Speciality	Optometry
Experience	2 Years
Location	19792 Highway 105 W Ste 300, Montgomery, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Grady Patrick Rup attended and graduated from University Of Houston - College Of Optometry in 2023

NPI Data:

NPI Number: 1063191252
Provider Enumeration Date: 07/14/2023
Last Update Date: 08/21/2025

Medicare PECOS Information:

PECOS PAC ID: 6709247190
Enrollment ID: I20230801004517

Medical Identifiers

Medical identifiers for Dr Grady Patrick Rup such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063191252	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	10916 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
First Texas Optometric Pc	4284095738	4
Clara Vista Eyecare	6507216371	4

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Grady Patrick Rup allows following entities to bill medicare on his behalf.

Provider Name	Temple Optometrists Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1932283710 PECOS PAC ID: 8022004597 Enrollment ID: O20040421000712

Provider Name	Second Texas Optometric Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1487378162 PECOS PAC ID: 6305206673 Enrollment ID: O20230718002898

Provider Name	First Texas Optometric Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235854746 PECOS PAC ID: 4284095738 Enrollment ID: O20230731002150

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Grady Patrick Rup is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Grady Patrick Rup, OD 19792 Highway 105 W Ste 300, Montgomery, TX 77356-6107 Ph: (936) 220-4313	Dr Grady Patrick Rup, OD 19792 Highway 105 W Ste 300, Montgomery, TX 77356-6107 Ph: (936) 220-4313

Reviews and Comments

Optometrist in Montgomery, TX

Dr. Wendy Kuo, O.d. Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 18700 Highway 105 W, Montgomery, TX 77356 Phone: 936-703-2678
Clara Vista Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 19792 Highway 105 W # 300, Montgomery, TX 77356 Phone: 936-220-4313 Fax: 936-220-4312
Jessica Watson, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 791 Fish Creek Thoroughfare Ste 50, Montgomery, TX 77316 Phone: 936-362-5462 Fax: 936-206-7987
Bonnie Jean Cameron, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15260 Highway 105 W, Suite 127, Montgomery, TX 77356 Phone: 936-448-1200 Fax: 936-582-1211
Montgomery Eye Associates Pc Optometrist Medicare: Medicare Enrolled Practice Location: 123 Blue Heron Dr, Suite 103, Montgomery, TX 77316 Phone: 936-582-2323
Wendy Kuo, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 18700 Highway 105 W, Montgomery, TX 77356 Phone: 936-582-1120

Dr Grady Patrick Rup, OD - Medicare Optometrist in Montgomery, TX