DR. NESHIA RENAE RUDD (O.D.) – Optometrist, NPI 1083727770

DR. NESHIA RENAE RUDD (O.D.) is a healthcare provider. based in Tyler, Texas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 5643TG (TX). The NPI Number for DR. NESHIA RENAE RUDD (O.D.) is 1083727770

Main info

Female
28 Years Of Experience
Name
DR. NESHIA RENAE RUDD (O.D.)
NPI
1083727770
Phone
(903) 581-9651
Address
4139 S BROADWAY AVE
Enumeration Date
16 August 2006
Last Update Date
27 September 2022

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
9035348349
Graduation Year
1998 (28 years ago)
PAC ID
3173511268
Group Practice PAC ID
2567450653
Professional Enrollment ID
I20040507000613
Address ID
TX757018720TY4139XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,128 OPTOMETRY in TX

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Provider Addresses for DR. NESHIA RENAE RUDD (O.D.)

  • 4139 S BROADWAY AVE

    TYLER, TX 757018720

    Phone: (903) 581-9651

    Type: Mailing

  • Pine Knoll Drive, Tyler, Smith County, Texas, 75713, United States

    TYLER, TX 757032624

    Phone: (903) 581-9651

    Type: Mailing

  • 4139, South Broadway Avenue, Tyler, Smith County, Texas, 75701, United States

    TYLER, TX 757018720

    Phone: (903) 534-8349

    Fax: (903) 581-8203

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $338.

Total Amount is formed as General ($338) + Research ($0) + Ownership ($0) = $338.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($163).

Total Amount

$338

General + Research + Ownership

Payments

10

Total payment records

General Amount

$338

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040507000613IOptometryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina132127$0
92014Established patient complete exam of visual system123122$0
99213Established patient office or other outpatient visit, 20-29 minutes7245$0
83516Analysis of substance using immunoassay technique, multiple step method6624$0
83861Microfluid analysis of tears4820$0
View full utilization report →

Insurance plans in this area (ZIP 75701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567450653View full group profile
NameSpecialtyState
O P T O M E T R YTX

Reviews

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Frequently asked questions

Can I verify DR. NESHIA RENAE RUDD (O.D.) with an NPI only?
You can start verification with NPI 1083727770 for DR. NESHIA RENAE RUDD (O.D.), then check state licensing separately.
Can I rely on DR. NESHIA RENAE RUDD (O.D.) being an active provider?
As of the registry snapshot, DR. NESHIA RENAE RUDD (O.D.) is marked active.
What is DR. NESHIA RENAE RUDD (O.D.)'s specialty?
The listing groups DR. NESHIA RENAE RUDD (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Does DR. NESHIA RENAE RUDD (O.D.) list a practice location?
Patients near Tyler, Texas may find DR. NESHIA RENAE RUDD (O.D.) in results; validate coverage separately.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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