Roger Lee Rengel in North Oaks - Optometrist

Roger Lee Rengel - NPI 1578595294

Roger Lee Rengel is a Optometrist in North Oaks, Minnesota. Roger Lee Rengel practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Roger Lee Rengel is 1578595294. The last update date is 2009-12-12.

Roger Lee Rengel's current location address is 700 Village Center Dr, North Oaks, Minnesota. You can contact this provider via phone number 6514821959 and fax number 6514821850. The mailing address for Roger Lee Rengel is 700 Village Center Dr, North Oaks, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Roger Lee Rengel
Address 700 Village Center Dr, North Oaks, Minnesota
Phone Number 6514821959
Fax Number 6514821850
Sole Proprietor Y
Credentials O.D.

NPI Number Detail

NPI Number 1578595294
Provider Enumeration Date 2006-07-06
Last Updated Date 2009-12-12

Provider Mailing Address Detail

Address 700 Village Center Dr
City North Oaks
State Minnesota (MN)
Post Code 551273019
Phone Number 6514821959
Fax Number 6514821850

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 1622
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
157859294 MN NPI NUMBER
21326 MN HEALTHPARTNERS
965040671001 MN PREFERRED ONE
SC1009 MN SELECT CARE
OB800RE MN BLUE CROSS/ BLUE SHIELD
65138 MN MEDICARE TAX ID
580000012 MN MEDICARE PTAN
22-02741 MN MEDICA
754723400 MN --

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FAQs about Roger Lee Rengel

What is the unique identifier code issued to Roger Lee Rengel by the Centers for Medicare & Medicaid Services (CMS)?

The Roger Lee Rengel has been assigned the NPI (National Provider Identifier) 1578595294. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Roger Lee Rengel's facilities are situated?

The facilities of Roger Lee Rengel are physically located at the following address: 700 Village Center Dr, North Oaks, MN, 551273019.

What is Roger Lee Rengel's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Roger Lee Rengel is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1578595294 to Roger Lee Rengel?

The Centers for Medicare & Medicaid Services originally issued the 1578595294 to Roger Lee Rengel on 2006-07-06.

When was the information regarding Roger Lee Rengel, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Roger Lee Rengel, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-12-12.

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