WALTER F RUTKOWSKY (NPI# 1417947680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417947680 |
| Entity Type | Individual |
| Full Name | WALTER F RUTKOWSKY |
| Credential | OD |
| Practice Address |
5005 Manatee Avenue West Bradenton FL 34209-3857 |
| Practice Telephone | 9417941315 |
| Practice Fax Number | 9417925034 |
| Mailing Telephone | 9417941315 |
| Mailing Fax Number | 9417925034 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2008-02-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC1555 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 078099500 | 05 | |
| AETNA | 4545097 | 01 | |
| AETNA | 2312704 | 01 | |
| RAILROAD MEDICARE | 580001115 | 01 | |
| FL | BCBS OF FLORIDA | 19203 | 01 |
| Street Address |
5005 MANATEE AVENUE WEST |
| City | BRADENTON |
| State | FL |
| Zip Code | 34209-3857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828029 | Cairn Clinic, LLC | Massage Therapist | 4701 Manatee Ave. West, Bradenton, FL 34209 | 2019-12-17 |
| 1790341782 | Kyle James Van Benschoten | Physical Therapist | Casa Mora Rehabilitation, Bradenton, FL 34209 | 2019-05-15 |
| 1336679117 | Jennifer Rose Patterson | Nurse Practitioner | 7211 6th Ave Nw, Bradenton, FL 34209 | 2017-06-14 |
| 1972872604 | Manatee Diagnostic Center West | Radiology | 2211 60th St West, Bradenton, FL 34209 | 2011-12-27 |
| 1235406646 | Manatee Diagnostic Center,ltd | Radiology | 2301 60th Street Court West, Suite C, Bradenton, FL 34209 | 2011-11-30 |
| 1073830758 | Melissa Anderson | Occupational Therapy Assistant | 5203 12th Ave Drive West, Bradenton, FL 34209 | 2010-04-21 |
| 1205060993 | Margaret Ann Kirkland | Dentist | 2902 59th St. W., Suite V, Bradenton, FL 34209 | 2009-05-08 |
| 1477791028 | Anna Maria Chiropractic Pllc | Chiropractor | 7315 9th Ave N.w., Bradenton, FL 34209 | 2009-02-04 |
| 1174783393 | The Lombardo Home | Assisted Living Facility | 620 71st Street North West, Bradenton, FL 34209 | 2008-06-11 |
| 1407041072 | Allison Jean Kelly | Occupational Therapist | 5949 17th Avenue W, Bradenton, FL 34209 | 2007-09-07 |
| Find all providers in zip 34209 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407216500 | Angela Love | Optometrist | 4625 34th Ct E, Bradenton, FL 34203-3968 | 2016-03-02 |
| 1639327547 | Elizabeth Vawter | Optometrist | 4001 1st St # Us41, Bradenton, FL 34208-4431 | 2008-09-04 |
| 1730358524 | Walter F Rutkowsky O D Pa | Optometrist | 5005 Manatee Ave W, Bradenton, FL 34209-3857 | 2008-02-26 |
| 1710161047 | Manatee Family Eyecare, Pa | Optometrist | 7423 Manatee Ave W Ste B, Bradenton, FL 34209-3403 | 2007-12-21 |
| 1558552893 | Eye Doctors Optical Outlets Pa | Optometrist | 803 Cortez Rd W, Bradenton, FL 34207-1433 | 2007-08-01 |
| 1609803451 | William Richard Carr | Optometrist | 7313 52nd Pl E, Bradenton, FL 34203-8915 | 2006-06-27 |
| 1649227810 | Albert Alexander Lascaibar | Optometrist | 1141 53rd Ave W, Bradenton, FL 34207-2858 | 2006-05-31 |
| 1336139872 | Dick A. Chlebina | Optometrist | 2020 Manatee Ave W, Bradenton, FL 34205-5856 | 2005-10-26 |
| 1417946120 | K&j Eye Care, Pa | Optometrist | 5632 26th St W, Bradenton, FL 34207-3515 | 2005-10-14 |
| 1568454825 | Robert J Parnes | Optometrist | 5306 Cortez Rd W, Bradenton, FL 34210-2821 | 2005-08-22 |
| Find all providers in BRADENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.