Active NPI
Renee M Ritzer, OD
- Optometrist
- Maple Grove, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2414
- Practice address
- 13195 Weaver Lake Road
Maple Grove, MN 55369 - Phone
- (763) 599-0153
- Fax
- (763) 420-6957
- NPI assigned
- Jan 9, 2007
- Last updated
- May 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2414 | MN | Primary |
| Optometrist | 152W00000X | 2614 | WI |
Addresses
Primary practice location
13195 Weaver Lake Road
Maple Grove, MN 55369
Mailing address
13195 Weaver Lake Rd
Maple Grove, MN 55369-9410
Phone (763) 420-5112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U47843 | Other | MN | WOODBURY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
113 Carmichael Rd
Hudson, WI 54016-7716
Phone (715) 377-7970
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2614 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brokea Inc. | Optometrist | Current | Accepting new patients |
| Sees the Day LTD | Current | Accepting new patients | |
| Sees the Day LTD | Optometrist | Current | Accepting new patients |
| Sees the Day LTD | Optometrist | Past | Accepting new patients |
Locations
1757 N Frontage Rd
Hastings, MN 55033
Phone (651) 480-8515
13195 Weaver Lake Rd
Maple Grove, MN 55369
Phone (763) 420-5112
7150 Valley Creek Plz
Ste 216
Woodbury, MN 55125
Phone (651) 738-4886
113 Carmichael Rd
Hudson, WI 54016
Phone (715) 377-7970
Organizations & group practices 4
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430784000000",
"number": "1063561066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13195 WEAVER LAKE RD",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553699410",
"telephone_number": "763-420-5112",
"fax_number": "763-420-6957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13195 WEAVER LAKE ROAD",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "55369",
"telephone_number": "763-599-0153",
"fax_number": "763-420-6957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RITZER",
"first_name": "RENEE",
"middle_name": "M",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2015-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "2414",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "2614",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WOODBURY",
"identifier": "U47843",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maple Grove, MN
- Sarah Nicole Rima, LPCC
- Rise Through Rhythm Music Therapy LLC
- Risen Home Care LLC
- Rose Ritter Reinert
- Brigette Beth Ritter, MD
- River City Trail D/B/a Caring Matters Home Care
- River Counseling, LLC (River Counseling)
- Eden Ruth Robichaud
- Leia Chantelle Robideau, M.A., CCC-SLP
- Mia Isabella Rodriguez Sanchez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.