Individual
DR. MATTHEW C RENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6210 MASSARD RD STE 103, FORT SMITH, AR 72916-5042
(479) 353-5833
(479) 358-1435
Mailing address
6210 MASSARD RD STE 103, FORT SMITH, AR 72916-5042
(479) 353-5833
(479) 358-1435
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2524
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146786722
—
AR
05
—
1467867A
—
AR
01
—
410048511
RR MEDICARE
—
Enumeration date
07/19/2006
Last updated
04/10/2026
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