Individual
LARRY G RUTLEDGE
Active
Individual
LARRY G RUTLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3266
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000011879
BLUE CROSS & BLUE
OH
01
—
22-00925
UNITED HEALTHCARE
—
01
—
311157870
VSP
—
01
—
311157870004
MEDICAL MUTUAL
—
01
—
3266
HUMANA
—
01
—
32843
COORDINATED VISION CARE
—
01
—
OH3266
EYEMED
—
Enumeration date
11/16/2006
Last updated
07/08/2007
Update your record
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