Individual provider Active NPI

Aaron Reneau, O.D.

  • Optometrist
  • Humble, TX
National Provider Identifier
1447339791
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6660TG Issued in TX
Practice address
7561 FM 1960 Rd E Ste 170
Humble, TX 77346-3126
Phone
(281) 360-5151
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6660TG TX Primary

Addresses

Primary practice location

7561 FM 1960 Rd E Ste 170
Humble, TX 77346-3126

Mailing address

3106 Silverberry TRL
Kingwood, TX 77345-5446
Phone (409) 385-7800

Other practice location 1

1100 N Hwy 96
Silsbee, TX 77656
Phone (409) 385-7800

Other identifiers 1

IdentifierTypeStateIssuer
6660TGOtherTXSTATE OPTOMETRY LICENSE

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20051117000288 TX Practitioner - Optometry 8729007851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1447339791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 SILVERBERRY TRL",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773455446",
            "telephone_number": "409-385-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7561 FM 1960 RD E STE 170",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463126",
            "telephone_number": "281-360-5151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 N HWY 96",
            "address_purpose": "LOCATION",
            "city": "SILSBEE",
            "state": "TX",
            "postal_code": "77656",
            "country_code": "US",
            "telephone_number": "409-385-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENEAU",
        "first_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6660TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OPTOMETRY LICENSE",
            "identifier": "6660TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.