Renner, Matthew C
Renner, Matthew C is an individual health care provider with primary practice located at 6801 Rogers Ave , Fort Smith AR 72903-4067. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Renner, Matthew C can be contacted via phone (479) 274-4400.Contact Information
Primary practice address
6801 Rogers Ave
Fort Smith AR 72903-4067
Phone: (479) 274-4400
Fax: (479) 274-4499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2524 | Arkansas |
Profile Details
| NPI number | 1942229190 |
|---|---|
| LBN Legal business name | Renner, Matthew C |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Sep 1st, 2015 - about 9 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 | 1942229190 | NPPES |
| Arkansas | MEDICAID | 146786722 | |
| Arkansas | Other | 410048511 |
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