Patrick M Riner OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT000489 Issued in GA

Legal business name

PATRICK M RINER OD PC

Practice address

345 Lindquist Rd BLDG 71
Fort Stewart, GA 31314-5043

Phone

(912) 876-1106

NPI assigned

Jan 13, 2007

Organization subpart

No

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

Authorized official

Name

Patrick M Riner, OD

Title

Owner

Phone

(912) 256-1010

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1205987625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 HWY 144 # 291",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313247349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 LINDQUIST RD BLDG 71",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145043",
            "telephone_number": "912-876-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK M RINER OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-13",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "RINER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-256-1010",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT000489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350266687A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER ID",
            "identifier": "1811090921",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher H. Parnell, MD
• Ana Lilia Parodi, MD
• Catherine Parrish
• Mark Passamonti, M.D.
• Makelina Pastorella, PHYSICIAN ASSISTANT
• Phillip H. Patridge, DMD
• Armanni Patterson
• Terissa Patterson
• Mandy Pears, PHYSICIAN ASSISTANT
• Manuel NMN Pelaez, DMD, MS

• Optometrist in Fort Stewart, GA
• Providers in Fort Stewart, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.