Active NPI
Aggie Renner, OD
- Optometrist
- Paramus, NJ
National Provider Identifier
1265581433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00453100
- Practice address
- 106 Paramus Park
Paramus, NJ 07652-3527 - Phone
- (201) 265-5737
- Fax
- (201) 265-3267
- NPI assigned
- Jan 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00453100 | NJ | Primary |
Addresses
Primary practice location
106 Paramus Park
Paramus, NJ 07652-3527
Mailing address
106 Paramus Park
Paramus, NJ 07652-3527
Phone (201) 265-5737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
106 Paramus Park Mall
Paramus, NJ 07652-3527
Phone (201) 265-5737
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HD Eyecare ,PC | Optometrist | Current | Accepting new patients |
| Luxottica of America Inc | Past | Accepting new patients |
Locations
106 Paramus Park Mall
Paramus, NJ 07652
Phone (201) 265-5737
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Paramus, NJ
- NPI 1134546807
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": "1183852800000",
"number": "1265581433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 PARAMUS PARK",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076523527",
"telephone_number": "201-265-5737",
"fax_number": "201-265-3267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 PARAMUS PARK",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076523527",
"telephone_number": "201-265-5737",
"fax_number": "201-265-3267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENNER",
"first_name": "AGGIE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00453100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.