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

Dr. Grady Patrick Rup, OD

Individual provider Optometrist · NPI 1063191252

Dr. Grady Patrick Rup, OD is an Optometry in Montgomery, Texas. Graduated from University of Houston - College of Optometry in 2023, 3 years ago. Practices with Clara Vista Eyecare, a 4-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
3
Trained at
University of Houston - College of Optometry
Licensed in
TX
In the registry since
2023
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

19792 Highway 105 W Ste 300
Montgomery, TX 77356-6107
Phone: (936) 220-4313
Fax: (936) 220-4312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 10916 (TX)

Record details

NPI number1063191252
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJuly 14, 2023
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025
Mailing address19792 Highway 105 W Ste 300, Montgomery, TX 77356-6107

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Graduated 2023 (3 years in practice)
Group practice Clara Vista Eyecare — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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