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LA RUNNERSTROM OD PLLC
NPI 1053118273
Optometrist in East Greenbush, NY

Active since February 26, 2025
749 COLUMBIA TPKE, EAST GREENBUSH, NY 12061(518) 479-3306(518) 479-4502 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 21, 2025, Feb 26, 2025 (2 updates tracked since 2025).

About La Runnerstrom Od Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LA RUNNERSTROM OD PLLC (NPI 1053118273), doing business as Greenbush Eye Center, is a healthcare organization registered as an optometrist in East Greenbush, New York and active in the NPI registry since February 2025. The organization lists Laurie Runnerstrom, Owner/ Authorized Offical, as its authorized official.

NPPES Registry Identity

NPI1053118273
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameLA RUNNERSTROM OD PLLC
Location Address749 COLUMBIA TPKEEast Greenbush, NY 12061-2612
Mailing Address749 Columbia TpkeEast Greenbush, NY 12061-2612 · (518) 479-3306 · Fax (518) 479-4502
Phone(518) 479-3306
Fax(518) 479-4502
Organization SubpartNo
Authorized OfficialLaurie RunnerstromOwner/ Authorized Offical · (518) 479-3306
Enumeration DateFebruary 26, 2025
Last NPPES UpdateMay 21, 20252 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1053118273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
749 COLUMBIA TPKE, East Greenbush, NY 12061
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Other Names 1

Doing Business AsGreenbush Eye Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

La Runnerstrom Od Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to La Runnerstrom Od PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Laurie Runnerstrom, OD
Optometry
NPI 1922060888
99 TROY RD STE 201
East Greenbush, NY 12061
(518) 479-3306
✔ PECOS✔ Accepts Medicare2.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is La Runnerstrom Od PLLC's NPI number?

The NPI number for La Runnerstrom Od PLLC is 1053118273. It was assigned to this organization in the NPPES registry on February 26, 2025. The provider is doing business as Greenbush Eye Center.

Where is La Runnerstrom Od PLLC located?

La Runnerstrom Od PLLC is located at 749 Columbia Tpke, East Greenbush, NY 12061. The listed phone number is (518) 479-3306.

What is La Runnerstrom Od PLLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is La Runnerstrom Od PLLC enrolled in Medicare?

Yes. La Runnerstrom Od PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through La Runnerstrom Od PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to La Runnerstrom Od PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does La Runnerstrom Od PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list La Runnerstrom Od PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for La Runnerstrom Od PLLC was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.