Organization Active NPI

Renewal Optometry, LLC

  • Vision Therapy Optometrist
  • Bryan, OH
National Provider Identifier
1780397075
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
Legal business name
RENEWAL OPTOMETRY, LLC
Practice address
1113 W High St
Bryan, OH 43506-1541
Phone
(419) 318-8791
Fax
(419) 452-0397
NPI assigned
Jan 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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

Authorized official

Name
Hannah Louise Vollmer, ODNPI 1073173621
Title
Owner/Optometrist
Phone
(419) 318-8791

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WV0400X Primary

Addresses

Primary practice location

1113 W High St
Bryan, OH 43506-1541

Mailing address

9588 Behnfeldt Rd
Sherwood, OH 43556-9723
Phone (419) 318-8791

National Provider Directory

National Provider Directory

Locations

1113 W High St
Bryan, OH 43506
Phone (419) 318-8791

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672617600000",
    "number": "1780397075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9588 BEHNFELDT RD",
            "city": "SHERWOOD",
            "state": "OH",
            "postal_code": "435569723",
            "telephone_number": "419-318-8791",
            "fax_number": "419-452-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 W HIGH ST",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435061541",
            "telephone_number": "419-318-8791",
            "fax_number": "419-452-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWAL OPTOMETRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A",
        "authorized_official_last_name": "VOLLMER",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "419-318-8791",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; 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.