Renier, Gary L
Renier, Gary L is an individual health care provider with primary practice located at 101 10Th St N Ste 120, Fargo ND 58102-4600. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Renier, Gary L can be contacted via phone (701) 239-9771.Contact Information
Primary practice address
101 10Th St N Ste 120
Fargo ND 58102-4600
Phone: (701) 239-9771
Fax: (701) 293-0944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ND339 | North Dakota |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | ND339 | North Dakota |
Profile Details
| NPI number | 1205831427 |
|---|---|
| LBN Legal business name | Renier, Gary L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205831427 | NPPES |
| North Dakota | Other | 11351 | BLUE CROSS/BLUE SHIELD |
| North Dakota | MEDICAID | 60417 | BLUE CROSS/BLUE SHIELD |
| North Dakota | Other | 2C934RE | BLUE CROSS/BLUE SHIELD |
| North Dakota | Other | 2227152 | BLUE CROSS/BLUE SHIELD |
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