Wendy S. Rudolph, O.D.

Optometrist · Springfield, VA

Individual Active NPI

NPI number 1982912101

Practice location

6501 Loisdale Ct
Kaiser Permanente Springfield Medical Center
Springfield, VA 22150-1826
Phone
(703) 922-1000

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NPI record

NPI
1982912101
Entity type
Individual (Type 1)
Enumeration date
September 22, 2010
Last updated
June 3, 2021
Certified
June 3, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 0618000183 VA

Mailing address

2101 E Jefferson St
Kaiser Permanente Medicare Enrollment
Rockville, MD 20852-4908
Phone
(301) 816-2424

About Dr. Rudolph

Wendy S. Rudolph, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 6501 Loisdale Ct, Kaiser Permanente Springfield Medical Center, Springfield, VA 22150-1826. The NPI number 1982912101 was assigned on September 22, 2010 and the record was last updated on June 3, 2021.

Dr. Rudolph lists a license in the registry: #0618000183 (VA) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Wendy S. Rudolph, O.D.?

The NPI number is 1982912101.

What is the phone number of Dr. Rudolph?

The phone number listed for the practice location is (703) 922-1000.

Where is Dr. Rudolph located?

6501 Loisdale Ct, Kaiser Permanente Springfield Medical Center, Springfield, VA 22150-1826.

What is the taxonomy code for Dr. Rudolph?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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