Individual provider Active NPI

Julia Runkel, O.D.

  • Optometrist
  • Madison, WI
National Provider Identifier
1225479447
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3314-35 Issued in WI
Practice address
29 E Towne Mall
Madison, WI 53704-3711
Phone
(608) 246-0308
NPI assigned
Jul 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3314-35 WI Primary

Addresses

Primary practice location

29 E Towne Mall
Madison, WI 53704-3711

Mailing address

642 Orion TRL
Madison, WI 53718-2926
Phone (714) 732-2795

Other names 1

  • Miss Julia Schrammel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20150303001353 WI Practitioner - Optometry 4486970837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olson Eye Care LLCGroup PAC ID 5294818589, 5 clinicians

Practice addresses (Care Compare)

102 Shaler Dr
Waupun, WI 53963-1791
Phone (920) 324-3501

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Olson Eye Care LLC Optometrist CurrentSince Nov 1, 2021 Accepting new patients
Olson Eye Care LLC Optometrist CurrentSince Nov 1, 2021 Accepting new patients

Locations

395 W Tyranena Park Rd
#5
Lake Mills, WI 53551
Phone (920) 648-2011

503 Commerce Dr
Madison, WI 53719
Phone (608) 833-0062

102 Shaler Dr
Waupun, WI 53963
Phone (920) 324-3501

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1225479447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 ORION TRL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537182926",
            "telephone_number": "714-732-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 E TOWNE MALL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043711",
            "telephone_number": "608-246-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNKEL",
        "first_name": "JULIA",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3314-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "SCHRAMMEL",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.