Organization
GARY L. RENIER, O.D. LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY L. RENIER O.D. (PRESIDENT)
(701) 239-9711
Entity
Organization
Contact information
Practice address
101 10TH ST N, STE 120, FARGO, ND 58102-4600
(701) 239-9771
(701) 293-0944
Mailing address
101 10TH ST N, STE 120, FARGO, ND 58102-4600
(701) 239-9771
(701) 293-0944
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
339
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11351
BLUE CROSS OF ND
ND
01
—
2227152
MEDICA
ND
01
—
2C934RE
BLUE CROSS OF MN
MN
05
—
402225400
—
MN
05
—
60443
—
ND
01
—
824258102
TRICARE
ND
01
—
REN800339
ND VISION
ND
Enumeration date
04/16/2008
Last updated
10/30/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up