| Dr Martin Bruce Rudick, OD | |
|
28923 Christopher Ln., Southfield, MI 48034 | |
| (734) 358-3669 | |
| Not Available |
| Full Name | Dr Martin Bruce Rudick |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 28923 Christopher Ln., Southfield, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831275759 | NPI | - | NPPES |
| 5330000967 | Other | MI | BOARD OF PHARMACY CONTROLLED SUBSTANCE LICENSE |
| 1831275759 | Medicaid | MI | |
| MI6843015 | Other | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901003029 (Michigan) | Primary |
| Provider Name | Svs Vision Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194879023 PECOS PAC ID: 9931257110 Enrollment ID: O20090427000507 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Martin Bruce Rudick, OD 28923 Christopher Ln., Southfield, MI 48034 Ph: (734) 358-3669 | Dr Martin Bruce Rudick, OD 28923 Christopher Ln., Southfield, MI 48034 Ph: (734) 358-3669 |
Dr. Frances Meram Ceritano, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 30800 Southfield Rd, Southfield, MI 48076 Phone: 248-647-9790 Fax: 248-901-1831 | |
Dr. William Jerry Lindahl, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 26771 W 12 Mile Rd, Suite 100, Southfield, MI 48034 Phone: 248-263-4900 Fax: 248-263-4903 | |
P-cor, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 29350 Southfield Rd Ste 150, Southfield, MI 48076 Phone: 248-647-9790 | |
Esther Moon, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 24571 W 12 Mile Rd, Southfield, MI 48034 Phone: 773-541-0227 | |
Agape Vision Associates P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 24300 Southfield Rd Ste 216, Southfield, MI 48075 Phone: 248-327-6249 | |
Dr. Ricardo Hickinson, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 19800 W 8 Mile Rd, Southfield, MI 48075 Phone: 248-352-6900 Fax: 248-354-0345 | |
Pearle Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 21500 Northwestern Hwy, Sp D17c, Southfield, MI 48075 Phone: 248-559-3737 Fax: 248-559-8211 |