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KATHLEEN SIMMS RUDOLF O. D.
NPI 1033349055
Optometrist in Beavercreek, OH

Active since July 24, 2009PECOS Enrolled
2850 CENTRE DR STE 6A, BEAVERCREEK, OH 45324(937) 294-4060(937) 306-5245 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen Simms Rudolf O. D. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN SIMMS RUDOLF O. D. (NPI 1033349055) is an individual optometrist in Beavercreek, Ohio, licensed in Ohio (5891/T2805) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2009).

NPPES Registry Identity

NPI1033349055
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKATHLEEN SIMMS RUDOLFCredential: O. D.
Location Address2850 CENTRE DR STE 6ABeavercreek, OH 45324-8611
Mailing Address2850 Centre Dr Ste 6aBeavercreek, OH 45324-8611 · (937) 294-4060 · Fax (937) 306-5245
Phone(937) 294-4060
Fax(937) 306-5245
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 2009
Enumeration DateJuly 24, 2009
Last NPPES UpdateJuly 2, 2025
NPPES CertifiedJuly 2, 2025
✔ NPI 1033349055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OH · 5891/T2805
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2850 CENTRE DR STE 6A, Beavercreek, OH 45324
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Simms Rudolf O. D. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274679519
PECOS Enrollment IDI20090930000261
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
93 services93 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
41 services40 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
28 services28 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
20 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45324 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAMILY FIRST VISION CARE KENTUCKY, LLC
Optometrist
2850 CENTRE DR STE 6A
BEAVERCREEK, OH 45324
Greene County (937) 429-4060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Rudolf's NPI number?

The NPI number for Kathleen Rudolf is 1033349055. It was assigned to this individual provider in the NPPES registry on July 24, 2009.

Where is Kathleen Rudolf located?

Kathleen Rudolf practices at 2850 Centre Dr Ste 6A, Beavercreek, OH 45324. The listed phone number is (937) 294-4060.

What is Kathleen Rudolf's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kathleen Rudolf enrolled in Medicare?

Yes. Kathleen Rudolf is registered in the Medicare PECOS enrollment system.

What insurance does Kathleen Rudolf accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 8 other insurers list Kathleen Rudolf as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathleen Rudolf was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.