Debra R Renner, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2008032353 Issued in MO

Practice address

1400 Forum Blvd
Columbia, MO 65203-1997

Phone

(573) 446-0331

Fax

(573) 446-6991

NPI assigned

Dec 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MO

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

Indiana University - School of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paige Hedgpath OdpcGroup PAC ID 5991856460, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
• devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
• devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
• IL PPO Downstate

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

• Paige Hedgpath OD,PC

  • Optometrist
  • Jefferson City, MO
  • NPI 1962644732
  Medicare reassignment Care Compare group
• Indiana University

  • Optometrist
  • Indianapolis, IN
  • NPI 1497799787
  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1013072966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 FORUM BLVD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652031997",
            "telephone_number": "573-446-0331",
            "fax_number": "573-446-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 FORUM BLVD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652031997",
            "telephone_number": "573-446-0331",
            "fax_number": "573-446-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNER",
        "first_name": "DEBRA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003068",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2008032353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1013072966",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1962644732",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013072966",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Nicole Rempfer, RN
• Renal Treatment Centers-Illinois Inc
• Rebecca Joann Renfrow, FNP
• Annette Marie Rengier, FNP-C
• Garrel Lee Renick, D.O.
• Gregory Renner, M.D.
• Renova Medical Center, LLC
• Corey Randall Rentfrow, P.A.-C
• Jennifer Rentschler, RN
• Andrew G Resnik, M.D.

• Optometrist in Columbia, MO
• Providers in Columbia, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.