Provider Demographics
NPI:1659358257
Name:RUDINSKY, JOSEPH JEFFREY (OD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:JEFFREY
Last Name:RUDINSKY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5913 KINGS SCHOOL RD
Mailing Address - Street 2:5913 KINGS SCHOOL ROAD
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-3367
Mailing Address - Country:US
Mailing Address - Phone:724-483-2777
Mailing Address - Fax:412-831-0638
Practice Address - Street 1:218 LINCOLN AVENUE EXT
Practice Address - Street 2:
Practice Address - City:CHARLEROI
Practice Address - State:PA
Practice Address - Zip Code:15022-3080
Practice Address - Country:US
Practice Address - Phone:724-483-2777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-27
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001415152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist