Individual provider Active NPI

Renny S Sardella, OD

  • Optometrist
  • Coatesville, PA
National Provider Identifier
1063475572
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OB007679A Issued in PA
Practice address
1810 E Lincoln Hwy
Coatesville, PA 19320-2408
Phone
(610) 466-9909
Fax
(610) 383-6256
NPI assigned
Apr 7, 2006
Last updated
Mar 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OB007679A PA Primary

Addresses

Primary practice location

1810 E Lincoln Hwy
Coatesville, PA 19320-2408

Mailing address

1810 E Lincoln Hwy
Coatesville, PA 19320-2408
Phone (610) 466-9909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20090911000023 PA Practitioner - Optometry 1557416765 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renny S Sardella OD PCGroup PAC ID 3072008184, 2 clinicians

Practice addresses (Care Compare)

1810 E Lincoln Hwy
Coatesville, PA 19320-2408
Phone (610) 466-9909

694 Unionville Rd
Kennett Square, PA 19348-1704
Phone (610) 444-1999

694 Unionville Rd
Kennett Square, PA 19348-4712

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OB007679APAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Renny S Sardella OD PC Optometrist CurrentSince Jan 1, 2026 Accepting new patients

Locations

1810 E Lincoln Hwy
Coatesville, PA 19320
Phone (610) 466-9909

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1063475572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 E LINCOLN HWY",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193202408",
            "telephone_number": "610-466-9909",
            "fax_number": "610-383-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 E LINCOLN HWY",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193202408",
            "telephone_number": "610-466-9909",
            "fax_number": "610-383-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARDELLA",
        "first_name": "RENNY",
        "middle_name": "S",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OB007679A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coatesville, PA

Sources for this page

Verify at the official NPI Registry.