NPI 1174740682 RENAISSANCE OCULAR DISEASE AND TRAUMA FOUNDATION, INC. LAGRANGE IN. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Renaissance Ocular Disease And Trauma Foundation, Inc. - NPI: 1174740682

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: RENAISSANCE OCULAR DISEASE AND TRAUMA FOUNDATION, INC.
NPI Number: 1174740682
Entity Type Code: Organizational (2)
Authorized Official Name: RICKY LEE WEIDOW
(PRESIDENT)
Mailing Address: 201 W Wayne St
Lagrange
State: IN US
Postal Code: 467611850
Phone Number: 2604633421
Fax Number: 2604637347
NPI Enumeration Date: 04/19/2007
NPI Last Update Date: 02/27/2010
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 332H00000X
License Number: 18002670A/B
Healthcare Provider Taxonomy:
(Secondary)
N
State: IN
Taxonomy Type: Suppliers
Taxonomy Classification: Eyewear Supplier (Equipment, not the service)
Taxonomy Specialization:
Taxonomy Definition:
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.


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