Individual provider Active NPI

Christine M Winter-Rundell, O.D., FCOVD

  • Optometrist
  • Cedar Rapids, IA
National Provider Identifier
1053302588
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2301 Issued in IA
Practice address
4207 Glass Rd NE
Cedar Rapids, IA 52402
Phone
(319) 366-4455
Fax
(319) 362-8461
NPI assigned
Nov 3, 2005
Last updated
Jul 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2301 IA Primary

Addresses

Primary practice location

4207 Glass Rd NE
Cedar Rapids, IA 52402

Mailing address

4207 Glass Rd NE
Cedar Rapids, IA 52402
Phone (319) 366-4455

Other identifiers 2

IdentifierTypeStateIssuer
0760058MedicaidIA
39574OtherIAWELLMARK BCBS

Other names 1

  • Christine Marie Corella Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060907000185 IA Practitioner - Optometry 3375504343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Heying and Heying PCGroup PAC ID 0749254092, 5 clinicians

Practice addresses (Care Compare)

4207 Glass Rd NE
Cedar Rapids Eye Care
Cedar Rapids, IA 52402-2514
Phone (316) 366-4455

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Heying and Heying PC Optometrist CurrentSince Aug 15, 2005 Accepting new patients

Locations

4207 Glass Rd NE
Cedar Rapids, IA 52402
Phone (316) 366-4455

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1053302588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 GLASS RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52402",
            "telephone_number": "319-366-4455",
            "fax_number": "319-362-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 GLASS RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52402",
            "telephone_number": "319-366-4455",
            "fax_number": "319-362-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTER-RUNDELL",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D., FCOVD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "2301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0760058",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "39574",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "CORELLA",
            "middle_name": "MARIE",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.