Gary L. Renier, O.D. LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

339 Issued in ND

Legal business name

GARY L. RENIER, O.D. LTD

Practice address

101 10TH St N
Ste 120
Fargo, ND 58102-4600

Phone

(701) 239-9771

Fax

(701) 293-0944

NPI assigned

Apr 16, 2008

Organization subpart

No

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

Authorized official

Name

Gary L. Renier, O.D.

Title

President

Phone

(701) 239-9711

Specialties & licenses 1

Addresses

Other identifiers 7

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jed Dunham Hillmer, O.D.

  • Optometrist
  • Fargo, ND
  • NPI 1174622245
  NPD (past)

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1730353160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 10TH ST N",
            "address_2": "STE 120",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024600",
            "telephone_number": "701-239-9771",
            "fax_number": "701-293-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 10TH ST N",
            "address_2": "STE 120",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024600",
            "telephone_number": "701-239-9771",
            "fax_number": "701-293-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L. RENIER, O.D. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "RENIER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-239-9711",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ND",
            "license": "339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MN",
            "identifier": "2C934RE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ND VISION",
            "identifier": "REN800339",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402225400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "824258102",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2227152",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ND",
            "identifier": "11351",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60443",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kou Gartei
• Catherine M Garvey, PA-C
• Gary a. Matthys MD PLC (Matthys Orthopaedic Center)
• Gary Cornforth
• Gary E. Johnson, O.D., P.C.
• Enej Gasevic, M.D.
• Krin Lee Gast, ASCP
• Amie Gatawah
• Nicholas Gau, M.D.
• Fritz Gaudin

• 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 Oct 30, 2008; 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.