Kristen Runke, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0118000120 Issued in VA

Practice address

9909 Georgetown Pike
Great Falls, VA 22066

Phone

(703) 759-0061

Fax

(703) 759-0063

NPI assigned

Aug 17, 2006

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

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

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 2

Specialty

Optometry

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Virginia Professional PLLCGroup PAC ID 1456898782, 12 clinicians

Practice addresses (Care Compare)

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.

• Aeg Virginia Professional PLLC

  • Optometrist
  • Fredericksburg, VA
  • NPI 1518746908

  DC

  Medicare reassignment Care Compare group NPD
• DRS. Unwalla & Runke, Optometrists P.C.

  • Optometrist
  • Great Falls, VA
  • NPI 1841442217

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233532800000",
    "number": "1679686042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 WINSTEAD ST",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "22066",
            "telephone_number": "703-757-6664",
            "fax_number": "703-757-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9909 GEORGETOWN PIKE",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "22066",
            "telephone_number": "703-759-0061",
            "fax_number": "703-759-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNKE",
        "first_name": "KRISTEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2009-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0118000120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primecare DME Suppliers LLC
• Vimarsh Raina, M.D.
• Susan Rattner, M.D.
• Afsoun Razmazma, FNP
• Rooted in Care Therapy LLC
• Vojislava C Russo, M.D.
• Ryan M Schwendiman, DMD, PLLC
• Sonya Safaie, PHARMD
• Christian Sandoval, RPH
• Haze Edrease Sawtari X

• Optometrist in Great Falls, VA
• Providers in Great Falls, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.