Laurie A Runnerstrom, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TU006627-1 Issued in NY

Practice address

99 Troy Rd Ste 201
East Greenbush, NY 12061-1027

Phone

(518) 479-3306

Fax

(518) 479-4502

NPI assigned

Apr 5, 2006

Last updated

Nov 28, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Illinois College of Optometry at Chicago, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• La Runnerstrom OD PLLC

  dba Greenbush Eye Center

  • Optometrist
  • East Greenbush, NY
  • NPI 1053118273
  Medicare reassignment NPD Authorized official
• Laurie a Runnerstrom, OD

  dba Greenbush Eye Center

  • Optometrist
  • East Greenbush, NY
  • NPI 1649474081
  NPD Authorized official
• Empire Vision Center Inc

  dba Davis Vision

  • Optometrist
  • Syracuse, NY
  • NPI 1750358826
  NPD (past)
• Empire Vision Center, Inc

  dba Visionworks

  • Eyewear Supplier
  • Attleboro, MA
  • NPI 1730635582
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1922060888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 TROY RD",
            "address_2": "SUITE 201",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120611027",
            "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": "99 TROY RD STE 201",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120611027",
            "telephone_number": "518-479-3306",
            "fax_number": "518-479-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNNERSTROM",
        "first_name": "LAURIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TU006627-1",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008328",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nah'Ziza Rodriguez
• Gina Roemer
• Janet Rokjer
• Alison Romer, DPT
• Daisy Rono
• Kylie Salerno, DC
• Kathleen Salls, LPN
• Adrienne A Salvagni, DPT
• Tracy Santore-Goodman, M.S. CCC/SLP
• Aida Sarr

• Optometrist in East Greenbush, NY
• Providers in East Greenbush, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.