MEDICARE: DR. ALLISON ANNE RUEHLEN OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	3664	MN
2	152W00000X	Optometrist	OPT5689	MA
3	152W00000X	Optometrist	3608-35	WI
4	152W00000X	Optometrist	OPT.0003498	CO
5	152W00000X	Optometrist	009957	NY
6	152W00000X	Optometrist	TPOP185	FL
7	152W00000X	Optometrist	OEG004129	PA

General Provider Information

NPI Number	:	1447818869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALLISON ANNE RUEHLEN OD

Provider Business Mailing Address
First Line	:	1446 CATNAP LN
Second Line	:
City	:	MONUMENT
State	:	CO
Zip	:	80132-6147
Country	:	US
Telephone Number	:	719-251-6597
Fax Number	:

Provider Business Practice Location Address
First Line	:	856 W HAPPY CANYON RD STE 110
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80108-3909
Country	:	US
Telephone Number	:	303-663-2034
Fax Number	:	303-663-3428

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2019
Last Update Date	:	12/16/2025

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