NPI 1013072966

Debra R Renner, OD

Practitioner Optometrist Columbia, MO

Practice location

Address: 1400 Forum Blvd, Columbia, MO 65203-1997
Phone: (573) 446-0331
Fax: (573) 446-6991

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2008032353 (MO)

Other Optometrist providers in Missouri →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 18003068 (IN)

Registry record

NPI: 1013072966
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Dec 2006
Record last updated: 17 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.