Mindy B. Rennard O.D. LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

T02818 Issued in MO

Legal business name

MINDY B. RENNARD O.D. LLC

Practice address

100 THF Blvd
Chesterfield, MO 63005-1123

Phone

(636) 536-4609

Fax

(636) 536-4617

NPI assigned

Feb 19, 2008

Last updated

Feb 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mindy B. Rennard, O.D.NPI 1851304240

Title

Optometrist

Phone

(314) 878-3027

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mindy Beth Rennard, O.D.

  • Optometrist
  • Chesterfield, MO
  • NPI 1851304240
  Authorized official Same address or phone

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1184892549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 CEDAR FIELD CT.",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175727",
            "telephone_number": "314-878-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 THF BLVD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051123",
            "telephone_number": "636-536-4609",
            "fax_number": "636-536-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDY B. RENNARD O.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "RENNARD",
        "authorized_official_first_name": "MINDY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "314-878-3027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Dawn Miller, MD
• Mark D Miller, M.D.
• Patrick Miller, DO
• Stephen Thomas Mills, DC
• John A Milton, MD
• Janea Minney, MS, CCC-SLP, CED
• Lauren Perlmutter Mione, OT
• Missouri Behavior Consulting
• Missouri Center for Reproductive Medicine, LLC
• Missouri CVS Pharmacy LLC (CVS Pharmacy #17069)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.