Christopher John Renner, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000112 Issued in VA

Practice address

5653 Columbia Pike
Suite 101
Baileys Crossroads, VA 22041-2872

Phone

(703) 578-3600

Fax

(703) 379-6089

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Ralph a Swetlow LTDGroup PAC ID 2668530437, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.41 of 100Reported as group

Quality

80.81

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Ralph a Swetlow LTD

  • Occupational Vision Optometrist
  • Baileys Crossroads, VA
  • NPI 1326075862

  DC

  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1003868829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5653 COLUMBIA PIKE",
            "address_2": "SUITE 101",
            "city": "BAILEYS CROSSROADS",
            "state": "VA",
            "postal_code": "220412872",
            "telephone_number": "703-578-3600",
            "fax_number": "703-379-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5653 COLUMBIA PIKE",
            "address_2": "SUITE 101",
            "city": "BAILEYS CROSSROADS",
            "state": "VA",
            "postal_code": "220412872",
            "telephone_number": "703-578-3600",
            "fax_number": "703-379-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNER",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VA009206531",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vincent Lee, DDS
• Gregory Lin
• Jessica Lynn Matis, DNP, APRN, ACNP-AG
• Muna Naser
• William Dodge Perry, O.D.
• Robin Rinearson, OD
• Daniel Sheehan, PHARMD
• Ganesan Sivaguru, O.D.
• Ariel Tucker
• Robert H Warren, O.D.

• Optometrist in Baileys Crossroads, VA
• Providers in Baileys Crossroads, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.