Theodore Renna, MD PA

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

THEODORE RENNA, MD PA

Doing business as

Monadnock Optical

Practice address

454 Old Street Rd
Suite 206
Peterborough, NH 03458-1200

Phone

(603) 924-0002

Fax

(603) 924-0060

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Wendy Isles

Title

Billing

Phone

(603) 924-7070

Specialties & licenses 1

Addresses

Other names 1

• Monadnock Optical Doing business as

Locations

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1114022217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 OLD STREET RD",
            "address_2": "SUITE 206",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581200",
            "telephone_number": "603-924-0002",
            "fax_number": "603-924-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 OLD STREET RD",
            "address_2": "SUITE 206",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581200",
            "telephone_number": "603-924-0002",
            "fax_number": "603-924-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE RENNA, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "ISLES",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "603-924-7070"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monadnock Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Tabat
• Dmitry Tarasevich, M.D.
• Sharon L Taylor
• Teresa Mary Cadorette, M.D., P.a.
• The Apothecary Lab Inc
• Theodore Renna, MD PA
• Deborah L Theodore, PHARMD
• Jennifer L Thibodeau
• Maria M Thoin, PTA
• Stephanie Thomas

• Eyewear Supplier in Peterborough, NH
• Providers in Peterborough, NH by specialty
• Eyewear Supplier in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.