Organization Active NPI

Fort Smith Eye Specialists, PLLC

Doing business as Renner Eye Care

  • Optometrist
  • Fort Smith, AR
National Provider Identifier
1225915986
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FORT SMITH EYE SPECIALISTS, PLLC
Doing business as
Renner Eye Care
Practice address
6210 Massard Rd Ste 103
Fort Smith, AR 72916-5042
Phone
(479) 353-5833
Fax
(479) 358-1435
NPI assigned
Aug 16, 2025
Last updated
Aug 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Authorized official

Name
Dr. Matthew Christian Renner, ODNPI 1942229190
Title
Optometrist
Phone
(479) 629-0806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

6210 Massard Rd Ste 103
Fort Smith, AR 72916-5042

Mailing address

6210 Massard Rd Ste 103
Fort Smith, AR 72916-5042
Phone (479) 629-0806

Other practice location 1

6801 Rogers Ave Ste 500
Fort Smith, AR 72903-4067
Phone (479) 353-5833

Other names 1

  • Renner Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250904003453 AR Part B Supplier - Clinic/Group Practice 4486156908 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Smith, AR

National Provider Directory

National Provider Directory

Locations

6210 Massard Rd
Ste 103
Fort Smith, AR 72916
Phone (479) 353-5833

6210 Massard Rd
Ste 1036210
Fort Smith, AR 72916

6801 Rogers Ave
Ste 500
Fort Smith, AR 72903
Phone (479) 274-4400

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1755302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1225915986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 MASSARD RD STE 103",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729165042",
            "telephone_number": "479-629-0806",
            "fax_number": "479-358-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 MASSARD RD STE 103",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729165042",
            "telephone_number": "479-353-5833",
            "fax_number": "479-358-1435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6801 Rogers Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729034067",
            "country_code": "US",
            "telephone_number": "479-353-5833",
            "fax_number": "479-358-1435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FORT SMITH EYE SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-16",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "RENNER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "479-629-0806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renner Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Renner Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.