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

Individual provider Optometrist · NPI 1033349055

Kathleen Simms Rudolf, OD is an Optometry in Beavercreek, Ohio. Graduated from Ohio State University - College of Optometry in 2009, 17 years ago. Practices with Family First Vision Care Kentucky LLC, a 19-clinician group. Licensed in Ohio.

Years since qualifying
17
Trained at
Ohio State University - College of Optometry
Licensed in
OH
In the registry since
2009
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

2850 Centre Dr Ste 6A
Beavercreek, OH 45324-8611
Phone: (937) 294-4060
Fax: (937) 306-5245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 5891/T2805 (OH)

Record details

NPI number1033349055
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 24, 2009
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2009 (17 years in practice)
Group practice Family First Vision Care Kentucky Llc — 19 clinicians
Accepts Medicare assignment Not indicated

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