LAURENCE RAHARDJANOTO O.D.
NPI 1689030413
Optometrist in Columbus, OH

Q: What is Laurence Rahardjanoto's NPI number?

The NPI number for Laurence Rahardjanoto is 1689030413. It was assigned to this individual provider in the NPPES registry on January 8, 2016.

Q: What is Laurence Rahardjanoto's specialty?

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

Active since January 08, 2016PECOS EnrolledAccepts Medicare Assignment

87.98/100

CMS Quality Rating

245 TAYLOR STATION RD, COLUMBUS, OH 43213(614) 866-9134(614) 866-6964 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 27, 2025, Nov 7, 2024, Dec 1, 2020 (3 updates tracked since 2020).

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About Laurence Rahardjanoto O.d. NPPES

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

LAURENCE RAHARDJANOTO O.D. (NPI 1689030413) is an individual optometrist in Columbus, Ohio, licensed in Ohio (OPT.6429) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2016).

NPPES Registry Identity

NPI1689030413

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameLAURENCE RAHARDJANOTOCredential: O.D.

Location Address245 TAYLOR STATION RDColumbus, OH 43213-4400

Mailing Address245 Taylor Station RdColumbus, OH 43213-4400 · (614) 866-9134 · Fax (614) 866-6964

Phone(614) 866-9134

Fax(614) 866-6964

Sole ProprietorNo

Medical School CMSOhio State University - College Of OptometryGraduated 2016

Enumeration DateJanuary 8, 2016

Last NPPES UpdateFebruary 27, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2025

✔ NPI 1689030413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in OH · OPT.6429

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.

245 TAYLOR STATION RD, Columbus, OH 43213

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Laurence Rahardjanoto O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618251208

PECOS Enrollment IDI20170227001454

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

38 services30 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43213 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.98/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

90.51

Promoting Interoperability

Improvement Activities

Cost

81.95

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRACE ZA KIM MD

Ophthalmology