Theodore Renna, MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

THEODORE RENNA, MD PA

Doing business as

Monadnock Eye Associates

Practice address

454 Old Street Rd
Suite 204
Peterborough, NH 03458-1200

Phone

(603) 924-7070

Fax

(603) 924-6700

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Wendy Isles

Title

Billing

Phone

(603) 924-7070

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Monadnock Eye Associates Doing business as

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1568573632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 OLD STREET RD",
            "address_2": "SUITE 204",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581200",
            "telephone_number": "603-924-7070",
            "fax_number": "603-924-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 OLD STREET RD",
            "address_2": "SUITE 204",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581200",
            "telephone_number": "603-924-7070",
            "fax_number": "603-924-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE RENNA, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "ISLES",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "603-924-7070"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30210243",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monadnock Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dmitry Tarasevich, M.D.
• Sharon L Taylor
• Teresa Mary Cadorette, M.D., P.a.
• The Apothecary Lab Inc
• Theodore Renna, MD PA
• Deborah L Theodore, PHARMD
• Jennifer L Thibodeau
• Maria M Thoin, PTA
• Stephanie Thomas
• Lisa Ann Thompson

• Ophthalmology Physician in Peterborough, NH
• Providers in Peterborough, NH by specialty
• Ophthalmology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.