Organization Active NPI

Laurie a Runnerstrom, OD

Doing business as Greenbush Eye Center

  • Optometrist
  • East Greenbush, NY
National Provider Identifier
1649474081
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TU006627-1 Issued in NY
Legal business name
LAURIE A RUNNERSTROM, OD
Doing business as
Greenbush Eye Center
Practice address
749 Columbia Tpke
East Greenbush, NY 12061-2612
Phone
(518) 479-3306
Fax
(518) 479-4502
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Dr. Laurie A Runnerstrom, O.D.NPI 1922060888
Title
Owner
Phone
(518) 479-3306

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TU006627-1 NY Primary

Addresses

Primary practice location

749 Columbia Tpke
East Greenbush, NY 12061-2612

Mailing address

749 Columbia Tpke
East Greenbush, NY 12061-2612
Phone (518) 479-3306

Other names 1

  • Greenbush Eye Center Doing business as

National Provider Directory

National Provider Directory

Locations

4 Springhurst Dr
Ste 108
East Greenbush, NY 12061
Phone (518) 479-3306

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1649474081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 COLUMBIA TPKE",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120612612",
            "telephone_number": "518-479-3306",
            "fax_number": "518-479-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 COLUMBIA TPKE",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120612612",
            "telephone_number": "518-479-3306",
            "fax_number": "518-479-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE A RUNNERSTROM, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "RUNNERSTROM",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-479-3306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TU006627-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenbush Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Greenbush, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.