Laurence Rahardjanoto, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.6429 Issued in OH

Practice address

245 Taylor Station Rd
Columbus, OH 43213-4400

Phone

(614) 866-9134

Fax

(614) 866-6964

NPI assigned

Jan 8, 2016

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 OH

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Canyon Eye Associates, Inc.Group PAC ID 6608824446, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.51 of 100Reported as group

Quality

79.46

Promoting interoperability

88

Improvement activities

40

Cost

78.92

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.

• Canyon Eye Associates, Inc.

  • Ophthalmology Physician
  • Columbus, OH
  • NPI 1235124728
  Medicare reassignment Care Compare group NPD
• Eye Physicians, LLC

  • Ophthalmology Physician
  • Columbus, OH
  • NPI 1740814516

  Optometrist

  Medicare reassignment NPD
• Eye Physicians, LLC

  • Durable Medical Equipment & Medical Supplies
  • Westerville, OH
  • NPI 1619570991
  NPD

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1689030413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 TAYLOR STATION RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432134400",
            "telephone_number": "614-866-9134",
            "fax_number": "614-866-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 TAYLOR STATION RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432134400",
            "telephone_number": "614-866-9134",
            "fax_number": "614-866-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHARDJANOTO",
        "first_name": "LAURENCE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-08",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.6429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loren Ragland, LISW
• Whitney Raglin Bignall, PHD
• Robert Ragosin, MD
• Louis M Rague III, M.D.
• Mohamed Rahal, MD
• Angela M Rahe, LSW
• Mahad Raheel, MD
• Amy W Rahl, MD
• Faisal Alam Rahman, M.D.
• Rahim Rahman, MD

• Optometrist in Columbus, OH
• Providers in Columbus, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.