MEDICARE: ANDY J RUDER 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	2468035	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700971082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDY J RUDER OD

Provider Business Mailing Address
First Line	:	16315 W SENTINAL ROCK LN
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85387-2765
Country	:	US
Telephone Number	:	715-214-8453
Fax Number	:

Provider Business Practice Location Address
First Line	:	16315 W SENTINAL ROCK LN
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85387-2765
Country	:	US
Telephone Number	:	715-214-8453
Fax Number	:

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

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	09/26/2022

Similar Medicare Providers

1811843113 — ERICA PAULINE BENNETT
Practice Location Address:

25932 N SANDSTONE WAY
SURPRISE, AZ
85387-6837

Practice Phone: 602-638-2424
Practice Fax:

1528028529 — MRS. RUTH J. COHEN M.A., L.M.F.T.
Practice Location Address:

16804 W PALISADE TRAIL LN # 12
SURPRISE, AZ
85387-7229

Practice Phone: 623-337-3388
Practice Fax: 623-298-2068

1285745737 — MRS. RHEA M GROVER EFDA, PTDA
Practice Location Address:

14629 W OBERLIN WAY
SURPRISE, AZ
85387-6747

Practice Phone: 623-760-5230
Practice Fax:

1285700906 — DR. CAROLYN JANE BROWN M.D.
Practice Location Address:

21115 N CARRILLO TRL
SURPRISE, AZ
85387-8285

Practice Phone: 602-620-4494
Practice Fax:

1124247374 — DR. MARY KAY CRAGAN PH.D.
Practice Location Address:

16913 W DALE LN
SURPRISE, AZ
85387-6078

Practice Phone: 623-584-8392
Practice Fax:

1992973796 — KRISTINA M. HARBOUR
Practice Location Address:

18042 W MORNING VISTA LN
SURPRISE, AZ
85387-6377

Practice Phone: 602-708-7105
Practice Fax:

Directions to “ ANDY J RUDER OD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.