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THEODORE RENNA MD PA NPI 1114022217


NPI Information

NPI: 1114022217
Provider Name: THEODORE RENNA, MD PA

Doing Business As: MONADNOCK OPTICAL

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
454 OLD STREET RD
SUITE 206
PETERBOROUGH, NH
ZIP 03458
Phone: (603) 924-0002
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THEODORE RENNA, MD PA is an eyewear supplier in Peterborough, NH. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. THEODORE RENNA, MD PA NPI is 1114022217. The provider is registered as an organization entity type.
The provider Is Doing Business As Monadnock Optical.

The provider's business location address is:

454 OLD STREET RD
SUITE 206
PETERBOROUGH, NH
ZIP 03458-200
Phone: (603) 924-0002
Fax: (603) 924-0060

The provider's authorized official is Wendy Isles .
The authorized official title is Billing and has the following contact phone number (603) 924-7070.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 3/16/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear SupplierNEW HAMPSHIREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10714670001MEDICARE NSCNEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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