Individual provider Active NPI

Renee S Rimmer, O.D.

  • Optometrist
  • Blue Ridge, GA
National Provider Identifier
1750336954
Registry record updated Feb 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 001406 Issued in GA
Practice address
3831 E First St
Blue Ridge, GA 30513-4525
Phone
(706) 632-1995
Fax
(706) 632-9852
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 001406 GA Primary

Addresses

Primary practice location

3831 E First St
Blue Ridge, GA 30513-4525

Mailing address

3831 E First St
Blue Ridge, GA 30513-4525

Other identifiers 1

IdentifierTypeStateIssuer
000569511BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20121108000366 GA Practitioner - Optometry 9830363480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3831 E 1St St
Blue Ridge, GA 30513
Phone (706) 632-1995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 001406GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bear Eye Care Optometrist CurrentSince Jan 6, 2003 Accepting new patients

Locations

91 Overview Dr
Blue Ridge, GA 30513
Phone (706) 632-1995

3831 E First St
Blue Ridge, GA 30513
Phone (706) 632-1995

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266192000000",
    "number": "1750336954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 E FIRST ST",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305134525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 E FIRST ST",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305134525",
            "telephone_number": "706-632-1995",
            "fax_number": "706-632-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIMMER",
        "first_name": "RENEE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2010-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT 001406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000569511B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ridge, GA

Sources for this page

Verify at the official NPI Registry.