Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Laurence Rahardjanoto, OD

Individual provider Optometrist · NPI 1689030413

Laurence Rahardjanoto, OD is an Optometry in Columbus, Ohio. Graduated from Ohio State University - College of Optometry in 2016, 10 years ago. Practices with Canyon Eye Associates, Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
10
Trained at
Ohio State University - College of Optometry
Licensed in
OH
In the registry since
2016
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

245 Taylor Station Rd
Columbus, OH 43213-4400
Phone: (614) 866-9134
Fax: (614) 866-6964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT.6429 (OH)

Record details

NPI number1689030413
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJanuary 8, 2016
Last updated in NPPESFebruary 27, 2025
Certification dateFebruary 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2016 (10 years in practice)
Group practice Canyon Eye Associates, Inc. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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