Provider Demographics
NPI:1730255266
Name:RICHARD F RULE OD PLLC
Entity type:Organization
Organization Name:RICHARD F RULE OD PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:D
Authorized Official - Last Name:RULE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:517-321-1154
Mailing Address - Street 1:112 E WASHINGTON ST STE 1100
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:61701-1001
Mailing Address - Country:US
Mailing Address - Phone:309-808-3112
Mailing Address - Fax:312-327-7621
Practice Address - Street 1:6409 CENTURION DR
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-9259
Practice Address - Country:US
Practice Address - Phone:517-321-1154
Practice Address - Fax:517-321-2652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-27
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901002343152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI900B31113OtherBCBS
2200015OtherPHP
MI900B31113OtherBCBS
2200015OtherPHP
MI0P25660Medicare PIN