Thomas James Rene, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

571 Issued in ND

Practice address

1695 43Rd St S
Fargo, ND 58103-3317

Phone

(701) 235-3937

Fax

(701) 491-7463

NPI assigned

Oct 9, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ND

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Eyecare Associates, PC

  • Optometrist
  • Fargo, ND
  • NPI 1811077100
  NPD (past)
• Eyes on Broadway LLC

  • Optometrist
  • Fargo, ND
  • NPI 1720447808
  NPD (past)
• Mark Tufte OD PC

  • Optometrist
  • Fargo, ND
  • NPI 1750536272
  NPD (past)
• West Fargo Eyecare Associates PC

  • Optometrist
  • West Fargo, ND
  • NPI 1871031153
  NPD (past)

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1386895290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 43RD ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033317",
            "telephone_number": "701-235-3937",
            "fax_number": "701-491-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 43RD ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033317",
            "telephone_number": "701-235-3937",
            "fax_number": "701-491-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENE",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-09",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "410037872",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peyton Reller, NP
• Taylor Lynn Reller, MLS(ASCP)CM
• Kelsey Megan Remmel, LSW
• Yongsheng Ren, MD
• Teresa Rene, OTR/L
• Aaron Michael Renelt, D.C.
• Gabrielle Marie Renelt
• Renew Medical Clinic LLC
• Renew Psychiatry LLC
• Renewed Wellness and Ketamine Clinic

• Optometrist in Fargo, ND
• Providers in Fargo, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.