JULIE SLOUGH RUNSTROM (OD) – Optometrist, NPI 1013992155

JULIE SLOUGH RUNSTROM (OD) is a healthcare provider. based in Traverse city, Michigan. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. JR003108 (MI). The NPI Number for JULIE SLOUGH RUNSTROM (OD) is 1013992155

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
JULIE SLOUGH RUNSTROM (OD)
NPI
1013992155
Phone
(231) 941-7788
Address
3200 S AIRPORT RD W
Enumeration Date
13 December 2005
Last Update Date
9 December 2011

Doctor Profile

Medical School Name
FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Secondary Phone
2319417788
Graduation Year
1987 (39 years ago)
PAC ID
5991970519
Group Practice PAC ID
2466447966
Professional Enrollment ID
I20111209000611
Address ID
MI496842204TR336XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

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Provider Addresses for JULIE SLOUGH RUNSTROM (OD)

  • West South Airport Road, Traverse City, Grand Traverse County, Michigan, 49686, United States

    #146

    TRAVERSE CITY, MI 496848117

    Phone: (231) 941-7788

    Fax: (231) 941-0893

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $57.

Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.

Last reported payment date: 2024-02-09 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($57).

Total Amount

$57

General + Research + Ownership

Payments

2

Total payment records

General Amount

$57

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111209000611IOptometryMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49684)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466447966View full group profile
NameSpecialtyState
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI

Reviews

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Frequently asked questions

What identifier follows JULIE SLOUGH RUNSTROM (OD) across health systems?
The NPI 1013992155 uniquely identifies JULIE SLOUGH RUNSTROM (OD) in U.S. healthcare data.
Quick check: is JULIE SLOUGH RUNSTROM (OD) active?
Public NPPES data shows JULIE SLOUGH RUNSTROM (OD) with an active NPI status right now.
Which specialty label fits JULIE SLOUGH RUNSTROM (OD)?
NPPES ties JULIE SLOUGH RUNSTROM (OD) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JULIE SLOUGH RUNSTROM (OD)?
JULIE SLOUGH RUNSTROM (OD) is associated with Traverse City, Michigan in the same public data insurers reference.
Can I export JULIE SLOUGH RUNSTROM (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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