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ROBERT M. BRENNER O.D. NPI 1437330446


NPI Information

NPI: 1437330446
Provider Name: ROBERT M. BRENNER O.D.
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
70 PARK AVE W
MANSFIELD, OH
ZIP 44902
Phone: (419) 525-1207
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ROBERT M. BRENNER O.D. is an eyewear supplier in Mansfield, OH. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. ROBERT M. BRENNER O.D. NPI is 1437330446. The provider is registered as an organization entity type.

The provider's business location address is:

70 PARK AVE W
MANSFIELD, OH
ZIP 44902-624
Phone: (419) 525-1207
Fax: (419) 525-0030

The provider's authorized official is Robert M. Brenner .
The authorized official title is Owner and has the following contact phone number (419) 525-0030.

The enumeration date for this NPI number is 11/19/2007 and was last updated on 8/24/2010.


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 Supplier3398OHIOYes

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
10200520001MEDICARE NSCOHIO
2T47091MEDICARE UPINOHIO
32036255MEDICAIDOHIO
40471051MEDICARE PINOHIO

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: 4/28/2024

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