Active NPI
Renee Marie Collier, O.D.
- Optometrist
- Michigan City, IN
National Provider Identifier
1366529158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18003297A
- Practice address
- 5150 Franklin St
Michigan City, IN 46360-7878 - Phone
- (219) 879-6082
- Fax
- (219) 879-6395
- NPI assigned
- Nov 1, 2006
- 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 | 18003297A | IN | Primary |
Addresses
Primary practice location
5150 Franklin St
Michigan City, IN 46360-7878
Mailing address
5150 Franklin St
Michigan City, IN 46360-7878
Phone (219) 879-6082
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18003297A | IN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362009600000",
"number": "1366529158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5150 FRANKLIN ST",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463607878",
"telephone_number": "219-879-6082",
"fax_number": "219-879-6395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5150 FRANKLIN ST",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463607878",
"telephone_number": "219-879-6082",
"fax_number": "219-879-6395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIER",
"first_name": "RENEE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2013-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18003297A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Michigan City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.