Robert M. Brenner O.D.

LBN: Robert M. Brenner O.D.
Robert M. Brenner O.D. is an health care organization with primary practice located at 70 Park Ave W , Mansfield OH 44902-1624. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Robert M. Brenner O.D. can be contacted via phone (419) 525-1207, or through Brenner, Robert M. via phone (419) 525-0030.

Contact Information

Primary practice address
70 Park Ave W Mansfield OH 44902-1624
Phone: (419) 525-1207
Fax: (419) 525-0030
Website:
Map and Directions
Authorized official contact:
Name: Brenner, Robert M. Doctor of Optometry (OD)
Phone: (419) 525-0030

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 3398 Ohio

Profile Details

NPI number 1437330446
LBN Legal business name Robert M. Brenner O.D.
DBA Doing business as
Authorized official Brenner, Robert M. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2007
Last updated Aug 24th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437330446 NPPES
Ohio MEDICAID 2036255

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