Individual
LARRY G RUTLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1107 ALLEN DR, SUITE C, MILFORD, OH 45150-8763
(513) 965-2020
(513) 965-2025
Mailing address
1107 ALLEN DR, SUITE C, MILFORD, OH 45150-8763
(513) 965-2020
(513) 965-2025
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
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