Julie Slough Runstrom, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

JR003108 Issued in MI

Practice address

3200 S Airport Rd W
#146
Traverse City, MI 49684-8117

Phone

(231) 941-7788

Fax

(231) 941-0893

NPI assigned

Dec 13, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Optometry

Education

Ferris State College - College of Optometry, 1987

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nichols Optical Inc

  • Optometrist
  • Traverse City, MI
  • NPI 1679558712
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1013992155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 S AIRPORT RD W",
            "address_2": "#146",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848117",
            "telephone_number": "231-941-7788",
            "fax_number": "231-941-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 S AIRPORT RD W",
            "address_2": "#146",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848117",
            "telephone_number": "231-941-7788",
            "fax_number": "231-941-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOUGH RUNSTROM",
        "first_name": "JULIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "JR003108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3278509",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luna Meadow Slayer
• Sleep Diagnostics of Northern Michigan P C
• Steven E Slikkers, M.D.
• Jessica Lea Slocum, M.D.
• Nicklaus Karwas Slocum, M.D.
• Sherry L Small, M.D.
• Jane Lermont Smallwood, N.P.
• Smith Chiropractic & Wellness
• Pamela Carol Smith-Bell, MA, LLPC
• Adam Bryant Smith, MD

• Optometrist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.