Julie Slough Runstrom (NPI# 1013992155, PAC ID# 5991970519) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1013992155 |
| PAC ID by PECOS | 5991970519 |
| Professional Enrollment ID | I20111209000611 |
| Full Name | Julie Slough Runstrom |
| Organization Legal Name | NICHOLS OPTICAL INC |
| Address |
336 W Front St Traverse Vision Traverse City MI 49684-2204 |
| Phone Number | 2319417788 |
| Gender | F |
| Medical School | FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY |
| Graduation Year | 1987 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 2466447966 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 | 2319417788 | NICHOLS OPTICAL INC |
| Organization Legal Name | NICHOLS OPTICAL INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Lynn Wagner | Optometry | Nichols Optical Inc | 6800 Eastman Ave, Suite 320, Midland, MI 48642-7813 |
| Christopher James Kowalski | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| David Cannon | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Karisa Ritter | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Elizabeth J Nichols | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Street Address |
336 W FRONT ST TRAVERSE VISION |
| City | TRAVERSE CITY |
| State | MI |
| Zip | 49684-2204 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher James Kowalski | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| David Cannon | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Karisa Ritter | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Elizabeth J Nichols | Optometry | Nichols Optical Inc | 336 W Front St, Traverse Vision, Traverse City, MI 49684-2204 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John F Ulrich | Psychologist, Clinical | 102 W Front St, Suite 402, Traverse City, MI 49684-1201 | |
| Melanie S Villanueva | Clinical Social Worker | 134 W State St, Suite 202, Traverse City, MI 49684-1491 | |
| Hillary R Toennies | Qualified Audiologist | Family Hearing LLC | 315 N Division St, Suite 120, Traverse City, MI 49684-2009 |
| Paul Andrew Hanrahan | Qualified Audiologist | Family Hearing LLC | 315 N Division St, Suite 120, Traverse City, MI 49684-2009 |
| Barbara Jones Smith | Clinical Psychologist | Barbara Jones Smith Phd PC | 821 S Elmwood C, Traverse City, MI 49684-2191 |
| Christopher M Reed | Optometry | Scarbrough Professional Services, P C | 527 W Front St, Traverse City, MI 49684-2207 |
| Peter J Jenema | Chiropractic | Gaston Family Chiropractic LLC | 625 2nd St, Gaston Family Chiropractic, Traverse City, MI 49684-2220 |
| Julie A Gronek | Physical Medicine and Rehabilitation | Jay H Jones Md PC | 701 3rd St, Traverse City, MI 49684-2227 |
| Tamlynn L Evans | Nurse Practitioner | 401 W Front St, Suite 8, Traverse City, MI 49684-2259 | |
| Mark J Zimmer | Chiropractic | 620 2nd St, Traverse City, MI 49684-2272 | |
| Find all physicians in zip 49684 | |||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
| Specialty | OPTOMETRY |
| City + Specialty | TRAVERSE CITY + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.