Individual
WILLIAM R RUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2013 STATE ROUTE 59, KENT, OH 44240-4113
(330) 678-0201
(330) 678-4272
Mailing address
2013 STATE ROUTE 59, KENT, OH 44240-4113
(330) 678-0201
(330) 678-4272
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4310
OH
152W00000X
Optometrist
T305
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0239389
—
OH
Enumeration date
03/24/2006
Last updated
01/03/2014
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