Chad E. Renner, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1782 Issued in KS

Practice address

15345 W 119TH St
Olathe, KS 66062-1074

Phone

(913) 428-7911

Fax

(913) 791-0197

NPI assigned

Dec 13, 2006

Last updated

Oct 3, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midland Eye Care LLC

  • Clinic/Center
  • Olathe, KS
  • NPI 1962282392
  Medicare reassignment NPD Authorized official
• Blue Valley Eyecare, LLC

  dba Blue Valley Eyecare

  • Optometrist
  • Overland Park, KS
  • NPI 1245366939
  Medicare reassignment NPD
• Honeyman Investments LLC

  dba Highpoint Family Vision

  • Health Service Clinic/Center
  • Shawnee, KS
  • NPI 1013352384
  Medicare reassignment NPD
• Honeyman Investments LLC

  • Optometrist
  • Olathe, KS
  • NPI 1194114728
  NPD
• Clifford L. Holt, O.D.

  • Optometrist
  • Shawnee, KS
  • NPI 1154591337
  NPD (past)
• Clifford L. Holt, O.D.,P.a.

  • Optometrist
  • Shawnee, KS
  • NPI 1013282268
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1841351426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15345 W 119TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621074",
            "telephone_number": "913-428-7911",
            "fax_number": "913-791-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15345 W 119TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621074",
            "telephone_number": "913-428-7911",
            "fax_number": "913-791-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNER",
        "first_name": "CHAD",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2002018357",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gage R Relford
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• Alexandra Renoux
• Daniel D Rensser II, LMSW
• Resilience Counseling LLC
• Ann Miller Restituto, LMSW
• Restore Motion Physical Therapy, LLC

• Optometrist in Olathe, KS
• Providers in Olathe, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.