Provider Demographics
NPI:1932290962
Name:RULE, JEFFREY DEAN (OD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:DEAN
Last Name:RULE
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 1:4004 W ST JOSEPH HWY
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-4215
Mailing Address - Country:US
Mailing Address - Phone:517-321-1154
Mailing Address - Fax:517-321-2652
Practice Address - Street 1:4004 W ST JOSEPH HWY
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-4215
Practice Address - Country:US
Practice Address - Phone:517-321-1154
Practice Address - Fax:517-321-2652
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901003894152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
2200121OtherPHYSICIANS HEALTH PLAN
900B36518OtherBLUE CROSS BLUE SHIELD
900B36518OtherBLUE CROSS BLUE SHIELD
P25660004Medicare ID - Type Unspecified
2200121OtherPHYSICIANS HEALTH PLAN