Individual provider Active NPI

Matthew C Renner, OD

  • Optometrist
  • Fort Smith, AR
National Provider Identifier
1942229190
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2524 Issued in AR
Practice address
6210 Massard Rd Ste 103
Fort Smith, AR 72916-5042
Phone
(479) 353-5833
Fax
(479) 358-1435
NPI assigned
Jul 19, 2006
Last updated
Apr 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2524 AR Primary

Addresses

Primary practice location

6210 Massard Rd Ste 103
Fort Smith, AR 72916-5042

Mailing address

6210 Massard Rd Ste 103
Fort Smith, AR 72916-5042
Phone (479) 353-5833

Other practice location 1

6801 Rogers Ave Ste 500
Fort Smith, AR 72903-4067
Phone (479) 274-4400

Other identifiers 2

IdentifierTypeStateIssuer
1467867AMedicaidAR
410048511OtherRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20110210000563 AR Practitioner - Optometry 1254511090 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Fort Smith Eye Specialists PLLCGroup PAC ID 4486156908, 2 clinicians

Practice addresses (Care Compare)

6210 Massard Rd
Suite 103
Fort Smith, AR 72916-5042
Phone (479) 353-5833

6801 Rogers Ave
Fort Smith, AR 72903-4067
Phone (479) 274-4400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2524ARMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Smith Eye Specialists, PLLC Optometrist CurrentSince Aug 21, 2025 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Nov 1, 2017 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Nov 1, 2017 Accepting new patients

Locations

6210 Massard Rd
Ste 103
Fort Smith, AR 72916
Phone (479) 353-5833

6801 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-6000

6801 Rogers Ave
Ste 500
Fort Smith, AR 72903
Phone (479) 274-4400

7001 Rogers Ave
Fort Smith, AR 72903
Phone (479) 478-3510

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1942229190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 MASSARD RD STE 103",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729165042",
            "telephone_number": "479-353-5833",
            "fax_number": "479-358-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 MASSARD RD STE 103",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729165042",
            "telephone_number": "479-353-5833",
            "fax_number": "479-358-1435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6801 Rogers Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729034067",
            "country_code": "US",
            "telephone_number": "479-274-4400",
            "fax_number": "479-274-4499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENNER",
        "first_name": "MATTHEW",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467867A",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "410048511",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.