Individual provider · Type 1 NPI

Maxwell Edward Rennaker, OD

Optometrist · Grand Rapids, MI

NPI number 1366934879 Active

Practice location

2700 5 Mile Rd NE Ste 102
Grand Rapids, MI 49525-6516

Call (330) 908-8000 Map

Mailing address

3736 Prairie St SW
Grandville, MI 49418-1634

Specialties and licenses

TaxonomyCodeLicense
Optometrist 152W00000XOPT.006660 (OH)
Optometrist Primary 152W00000X4901005238 (MI)

Optometrist: 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 e…

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About NPI 1366934879

Maxwell Edward Rennaker, OD's National Provider Identifier is 1366934879, issued on May 31, 2018. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 9, 2020.