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Renaissance Ocular Disease And Trauma Foundation, Inc.
Eyewear Supplier in Lagrange, Indiana
NPI 1174740682

Renaissance Ocular Disease And Trauma Foundation, Inc. is a Eyewear Supplier based in Lagrange, IN. Renaissance Ocular Disease And Trauma Foundation, Inc. practices in Lagrange, IN. The NPI Number for Renaissance Ocular Disease And Trauma Foundation, Inc. is 1174740682 and holds a License No. 18002670A/B (Indiana).

The current practice location address for Renaissance Ocular Disease And Trauma Foundation, Inc. is 201 W Wayne St, Lagrange, IN and can be reached out via phone at 260-463-3421 and via fax at 260-463-7347.

Location: 201 W Wayne St, Lagrange, IN, 46761-1850
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174740682
Provider Name
Renaissance Ocular Disease And Trauma Foundation, Inc.
Credential
Provider Entity Type
Organization
Address
201 W Wayne St, Lagrange, IN, 46761-1850
Phone Number
260-463-3421
Fax Number
260-463-7347
Provider Enumeration Date
04/19/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2605932505 01 IN VISION SERVICE PLAN TOPEKA
5742334109 01 IN VISION SERVICE PLAN SOUTH BEND
200097680D 05 IN
2604633421 01 IN VISION SERVICE PLAN LAGRANGE
000000257711 01 IN ANTHEM BC/BS LAGRANGE
000000257712 01 IN ANTHEM BC/BS TOPEKA
000000635212 01 IN ANTHEM NWIELC KNOX
200097680E 05 IN
1639177793 01 IN RICKY WEIDOW NPI
200097680C 05 IN
institution
Provider Business Practice Location Address Details
Address
201 W Wayne St
City
Lagrange
State
Indiana
Zip
46761-1850
Phone Number
260-463-3421
Fax Number
260-463-7347
person
Provider Business Mailing Address Details
Address
201 W Wayne St
City
Lagrange
State
Indiana
Zip
46761-1850
Phone Number
260-463-3421
Fax Number
260-463-7347
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Optometrist
Speciality
-
Taxonomy
152W00000X
License No.
18002670A/B (Indiana)
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
18002670A/B (Indiana)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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