Individual
MRS. REBECCA L RUDISILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001237
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06688006
DAVIS VISION
—
05
—
1014782270002
—
PA
01
—
27162
AVESIS
—
01
—
PA1237
EYEMED
PA
01
—
PA97402
VBA
—
01
—
RU1518210
HIMARK BLUE SHIELD
PA
Enumeration date
07/27/2006
Last updated
03/17/2018
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