Laurence Rahardjanoto, O.D

NPI 1689030413 · on the registry since 2016

Practice

Address: 245 Taylor Station Rd
Columbus, OH 43213
Phone: (614) 866-9134
Fax: (614) 866-6964
Organisation at this address: Canyon Eye Optical Llc
Canyon Eye Associates, Inc.
Mid Ohio Eye Outpatient Surgery Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-02-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio