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Deactivated NPI 1528476264 Deactivated / Inactive NPI Male Practitioner

Lawrence A. Rudolph

Technician/Technologist - Optician • Saint Stephen, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lawrence Rudolph has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 25, 2014
NPI Deactivation Date December 09, 2020
Total Practice Duration ~6 Years of Practice (2014 – 2020)

Professional Overview & Biography Verified Profile Summary

Lawrence Rudolph was a registered Technician/Technologist - Optician practicing in Saint Stephen, MN. Throughout an active medical career spanning 6 years, Lawrence Rudolph provided care at the practice location at 306 MAIN ST E until profile deactivation on 2020-12-09.

Practice Location & Contact Primary Location

Practice Address

306 Main St E

Saint Stephen, MN 563754601

Telephone 3202529380
Associated Practice Facility / Clinic
🏢 St,. Stephen Optical Facility NPI 1881136216

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist - Optician in Saint Stephen, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Saint Stephen, MN (57 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Technician/Technologist - Optician Primary Specialty

NUCC Taxonomy Code: 156FX1800X

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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NPI Profile Deactivated December 09, 2020

Record deactivated on December 09, 2020

NPI Profile Active August 17, 2017

NPI status registered as active in NPPES database

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Updated Practice Location August 17, 2017

Registered at 306 MAIN ST E, SAINT STEPHEN, MN 563754601 (Tel: 3202529380)

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Updated Business Mailing Address August 17, 2017

Registered at 306 MAIN ST E, SAINT STEPHEN, MN 563754601 (Tel: 3202529380)

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Provider Name / Credentials Updated August 17, 2017

Recorded as LAWRENCE RUDOLPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2017

Technician/Technologist

NPI Profile Active July 25, 2014

NPI status registered as active in NPPES database

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Updated Practice Location July 25, 2014

Registered at 306 MAIN ST E, SAINT STEPHEN, MN 563754601 (Tel: 3202529380)

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Updated Business Mailing Address July 25, 2014

Registered at 306 MAIN ST E, SAINT STEPHEN, MN 563754601 (Tel: 3202529380)

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Provider Name / Credentials Updated July 25, 2014

Recorded as LAWRENCE RUDOLPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2014

Technician/Technologist

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Initial NPI Registration & Enumeration July 25, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528476264
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2014
Last Update: July 25, 2014
Deactivation Date: December 09, 2020

Mailing Address

306 Main St E

Saint Stephen, MN 563754601

Phone: 3202529380

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.