Individual provider Active NPI

Laura Clune, OD

  • Optometrist
  • Sunrise, FL
National Provider Identifier
1992914592
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3101 Issued in FL
Practice address
15916 W State Road 84
Sunrise, FL 33326-1226
Phone
(954) 384-6200
Fax
(954) 384-0506
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3101 FL Primary

Addresses

Primary practice location

15916 W State Road 84
Sunrise, FL 33326-1226

Mailing address

16810 SW 52ND PL
Southwest Ranches, FL 33331-1202
Phone (954) 252-9740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150223001829 FL Practitioner - Optometry 9133445844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rouse Family Eye Care, PAGroup PAC ID 2769676543, 2 clinicians

Practice addresses (Care Compare)

15916 W State Rd
Suite 84
Sunrise, FL 33326-1226
Phone (954) 384-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC3101FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rouse Family Eye Care, P.a. Optometrist CurrentSince Sep 23, 2014 Accepting new patients
Dr Laura Clune & Assoc Optometrist Past Accepting new patients

Locations

15916 W State Road 84
Sunrise, FL 33326
Phone (954) 384-6200

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1992914592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16810 SW 52ND PL",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333311202",
            "telephone_number": "954-252-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15916 W STATE ROAD 84",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333261226",
            "telephone_number": "954-384-6200",
            "fax_number": "954-384-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLUNE",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.