DR. DAVID HOWARD RUDOLPH O.D.
NPI 1821119108
Optometrist in Levittown, PA

Active since April 03, 2007PECOS EnrolledAccepts Medicare Assignment
206 WILLOW DR, LEVITTOWN, PA 19054(215) 945-0558(215) 945-4162 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. David Howard Rudolph O.d. NPPES

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

DR. DAVID HOWARD RUDOLPH O.D. (NPI 1821119108) is an individual optometrist in Levittown, Pennsylvania, licensed in Pennsylvania (OE001136) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1983).

NPPES Registry Identity

NPI1821119108
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DAVID HOWARD RUDOLPHCredential: O.D.
Location Address206 WILLOW DRLevittown, PA 19054-3121
Mailing Address206 Willow DrLevittown, PA 19054-3121 · (215) 945-0558 · Fax (215) 945-4162
Fax(215) 945-4162
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 1983
Enumeration DateApril 3, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1821119108 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 PA · OE001136
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.

206 WILLOW DR, Levittown, PA 19054

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. David Howard Rudolph O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173781564
PECOS Enrollment IDI20120319000300
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

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
46 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19054 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Optometrist
206 WILLOW DR
LEVITTOWN, PA 19054

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 David Rudolph's NPI number?

The NPI number for David Rudolph is 1821119108. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is David Rudolph located?

David Rudolph practices at 206 Willow Dr, Levittown, PA 19054. The listed phone number is (215) 945-0558.

What is David Rudolph's specialty?

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

Is David Rudolph enrolled in Medicare?

Yes. David Rudolph is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does David Rudolph accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list David Rudolph 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 David Rudolph was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.