Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHASE AARON RUDOLPH, O.D.
Active Sole ProprietorDR. CHASE AARON RUDOLPH, O.D. is a Optometrist healthcare provider located in HERRIN, Illinois. NPI 1457663809 is currently active in the NPPES registry. Verify at CMS.
Optometrist · HERRIN, IL
Registration Details
- NPI Number
- 1457663809
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2010 (16.067727144011 yrs)
- Last Updated
- Dec 16, 2015
- License
-
046010332 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3121 S PARK AVEHERRIN, IL, 629483785Browse IL providers · Browse ZIP 62948
- Phone
- 6189425465
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in HERRIN, IL
| Name | Credential | NPI |
|---|---|---|
| WILLIAM FIX | O.D. | 1285621656 |
| DR. KELLY DAVIS | OD | 1649337106 |
| DR. ANDREW THOMAS DUST | OD | 1790523488 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.