Dr Debra R Renner, OD | |
1400 Forum Blvd, Columbia, MO 65203-1997 | |
(573) 446-0331 | |
(573) 446-6991 |
Full Name | Dr Debra R Renner |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 1400 Forum Blvd, Columbia, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013072966 | NPI | - | NPPES |
1013072966 | Other | MO | INDIVIDUAL NPI |
1962644732 | Other | MO | GROUP NPI |
1013072966 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18003068 (Indiana) | Secondary |
152W00000X | Optometrist | 2008032353 (Missouri) | Primary |
Provider Name | Paige Hedgpath Odpc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669530887 PECOS PAC ID: 5991856460 Enrollment ID: O20090623000274 |
Mailing Address | Practice Location Address |
---|---|
Dr Debra R Renner, OD 1400 Forum Blvd, Columbia, MO 65203-1997 Ph: (573) 446-0331 | Dr Debra R Renner, OD 1400 Forum Blvd, Columbia, MO 65203-1997 Ph: (573) 446-0331 |
Dr. Douglas George Biggs, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2301 W Worley St, J C Penney Optical, Columbia, MO 65203 Phone: 573-445-9750 Fax: 573-445-2917 | |
Jeffrey M Gamble, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 500 Keene St, Suite 103, Columbia, MO 65201 Phone: 573-874-2030 Fax: 573-449-0253 | |
Richard Delano Iv, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-1506 Fax: 573-884-5575 | |
Jacob Bradley Moore, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 500 N Keene St, Suite 103, Columbia, MO 65201 Phone: 573-874-2030 Fax: 573-449-0253 | |
Sukhvir Kaur, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1205 Grindstone Pkwy Ste 113, Columbia, MO 65201 Phone: 573-442-5725 | |
Dr. Harry M Sulzberger, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 500 Keene St, Ste 103, Columbia, MO 65201 Phone: 573-874-2030 Fax: 573-449-0253 |