Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Carli Ruckman, OD

Individual provider Optometrist · NPI 1891075578

Dr. Carli Ruckman, OD is an Optometry in Winter Haven, Florida. Graduated from Pennsylvania College of Optometry in 2011, 15 years ago. Practices with Southeast Eye Institute PA, a 32-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
15
Trained at
Pennsylvania College of Optometry
Licensed in
FL
In the registry since
2011
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

215 1st St N
Winter Haven, FL 33881-4537
Phone: (863) 299-8908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1661 Se Us Highway 19, Crystal River, FL 34429-4830 — (352) 563-1666
  • 6911 Pistol Range Rd, Tampa, FL 33635-6335 — (813) 925-3393

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC 4648 (FL)

Record details

NPI number1891075578
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 25, 2011
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 2011 (15 years in practice)
Group practice Southeast Eye Institute Pa — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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