THEODORE RENNA, MD PA (NPI# 1114022217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114022217 |
| Entity Type | Organization |
| Organization Name | THEODORE RENNA, MD PA |
| Other Organization Name | MONADNOCK OPTICAL |
| Practice Address |
454 Old Street Rd Suite 206 Peterborough NH 03458-1200 |
| Practice Telephone | 6039240002 |
| Practice Fax Number | 6039240060 |
| Mailing Telephone | 6039240002 |
| Mailing Fax Number | 6039240060 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2012-03-16 |
| Authorized Official Name | WENDY ISLES (BILLING) |
| Authorized Official Telephone | 6039247070 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | NH | Suppliers |
| Other Name | Type Code |
|---|---|
| Monadnock Optical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568573632 | Theodore Renna, Md Pa | Ophthalmology | 454 Old Street Rd, Suite 204, Peterborough, NH 03458-1200 | 2006-08-31 |
| Street Address |
454 OLD STREET RD SUITE 206 |
| City | PETERBOROUGH |
| State | NH |
| Zip Code | 03458-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013915602 | Robert Knowles | Surgery | 454 Old Street Rd, Suite 201, Peterborough, NH 03458-1200 | 2005-07-08 |
| 1134605116 | Raynor Dental Peterborough, Pllc | Dentist | 454 Old Street Rd, Peterborough, NH 03458-1200 | 2018-07-13 |
| 1306339593 | Jonathan Brandan Nutt | Dentist | 454 Old Street Rd, Peterborough, NH 03458-1200 | 2018-06-12 |
| 1568983328 | Lauren Margaret Stacy | Nurse Practitioner | 454 Old Street Rd, Peterborough, NH 03458-1200 | 2017-07-03 |
| 1790130706 | Monadnock Ob Gyn Associates Pa | Obstetrics & Gynecology | 454 Old Street Rd, Peterborough, NH 03458-1200 | 2016-04-27 |
| 1649624156 | Peter M. Cerroni, Dmd, Pllc | Dentist | 454 Old Street Rd, Suite 102, Peterborough, NH 03458-1200 | 2016-04-20 |
| 1124434170 | Monadnock Eye Physicians and Surgeons, P.C. | Ophthalmology | 454 Old Street Rd, Ste 204, Peterborough, NH 03458-1294 | 2014-07-10 |
| 1487993945 | Lucy E. Doherty Licsw Inc. | Social Worker | 454 Old Street Rd, Suite 302, Peterborough, NH 03458-1200 | 2013-02-04 |
| 1639471089 | Lucy E Doherty | Social Worker | 454 Old Street Rd, Ste 302, Peterborough, NH 03458 | 2010-11-17 |
| 1033442686 | Annette Renee Brooks | Nurse Practitioner | 454 Old Street Rd, Suite 107, Peterborough, NH 03458-1200 | 2009-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932737608 | Amy Sue Odell Wilson | Acupuncturist | 78 Concord Street, Peterborough, NH 03458 | 2020-03-30 |
| 1144787037 | Aaron Cubbage | Massage Therapist | 20 Depot Street, Suite 310-3, Peterborough, NH 03458 | 2019-02-27 |
| 1285152892 | Taylor Joan Cordts | Physical Therapist | 150 Rivermead Road, Peterborough, NH 03458 | 2017-09-03 |
| 1659892701 | Ga Perry Dds Peterborough Pllc | Dentist | 70 Main Street, Suite 202, Ga Perry Dds Peterborough Pllc, Peterborough, NH 03458 | 2017-06-29 |
| 1356889901 | Brittany Molino | Physician Assistant | 458 Old Street Rd Ste 200, Peterborough, NH 03458 | 2017-02-03 |
| 1255889549 | Jade Ashton Durgin | Physician Assistant | 424 Old Street Road Suite 201, Peterborough, NH 03458 | 2016-09-14 |
| 1891050530 | Lara Kroodsma, Psyd, Pllc | Community/Behavioral Health | 25b Steele Rd, Peterborough, NH 03458 | 2012-07-09 |
| 1073817664 | Linda M Perry | Counselor | 7 Vose Farm Road, Peterborough, NH 03458 | 2010-12-22 |
| 1396071619 | Siobhan K Benham | Nurse Practitioner | 109c Grove Street, Peterborough, NH 03458 | 2009-10-21 |
| 1245488253 | Barbara Lloyd | Counselor | 9 Vose Road, Peterborough, NH 03458 | 2008-09-03 |
| Find all providers in zip 03458 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528588001 | Vizionz LLC | Eyewear Supplier (Equipment, not the service) | 70 Hancock Rd, Peterborough, NH 03458-1110 | 2017-06-26 |
| 1477738839 | John F Minteer Od Pllc | Eyewear Supplier (Equipment, not the service) | 129 Wilton Rd, Peterborough, NH 03458-1749 | 2008-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313637 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 262 Planfield Road, West Lebanon, NH 03784 | 2020-10-15 |
| 1457967135 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 70 Cluff Rd, Salem, NH 03079-3324 | 2020-09-18 |
| 1831367291 | Med-tec Hearing Labs, Inc. | Eyewear Supplier (Equipment, not the service) | 818 Central Avenue, Dover, NH 03820 | 2008-02-19 |
| 1720297088 | N H Optical Laboratory LLC | Eyewear Supplier (Equipment, not the service) | 40 Terrill Park Dr, Concord, NH 03301-7315 | 2007-05-22 |
| 1093841165 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 274 Daniel Webster Hwy, Nashua, NH 03060-5729 | 2007-02-26 |
| 1831235019 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 310 Daniel Webster Hwy Ste 259, Nashua, NH 03060-5707 | 2007-01-29 |
| 1124172176 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 6 March Ave, Manchester, NH 03103 | 2007-01-23 |
| 1437203627 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 70 Cluff Road, Salem, NH 03079 | 2007-01-23 |
| 1811040793 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 262 Plainfield Rd, West Lebanon, NH 03784-2025 | 2007-01-22 |
| 1306993480 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 77 Rockingham Park Blvd, The Mall At Rockingham Park, Salem, NH 03079-2964 | 2007-01-04 |
| Find all providers with the same taxonomy | ||||
| City | PETERBOROUGH |
| Zip Code | 03458 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.