MRS. RENEE ODELL (NPI# 1821453689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821453689 |
| Entity Type | Individual |
| Full Name | MRS. RENEE ODELL |
| Credential | ST |
| Practice Address |
1750 E Glendale Ave Phoenix AZ 85020-5505 |
| Practice Telephone | 6022424928 |
| Practice Fax Number | 6022494813 |
| Mailing Telephone | 6022424928 |
| Mailing Fax Number | 6022494813 |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2015-12-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1101X |
Technician/Technologist Specialization: Ophthalmic Assistant |
207W00000X | AZ | Eye and Vision Services Providers |
| Street Address |
1750 E GLENDALE AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85020-5505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518959287 | Alan J Gordon | Ophthalmology | 1750 E Glendale Ave, Phoenix, AZ 85020-5505 | 2005-08-18 |
| 1922501196 | Jodi Ann Matheny | Specialist/Technologist, Other | 1750 E Glendale Ave, Phoenix, AZ 85020-5505 | 2018-03-14 |
| 1801259361 | Setu Patel | Student in an Organized Health Care Education/Training Program | 1750 E Glendale Ave, Phoenix, AZ 85020-4328 | 2016-04-01 |
| 1427434935 | Jane Nathaly Vega Escobar | Specialist/Technologist, Other | 1750 E Glendale Ave, Phoenix, AZ 85020-5505 | 2015-08-06 |
| 1811371958 | Associated Retina Consultants | Specialist/Technologist, Other | 1750 E Glendale Ave, Phoenix, AZ 85020-5505 | 2015-07-18 |
| 1114308426 | Brandi Ekstrom | Specialist/Technologist, Other | 1750 E Glendale Ave, Phoenix, AZ 85020-5505 | 2015-06-11 |
| 1225417348 | Associated Retina Consultants | Technician/Technologist | 1750 E Glendale Ave, Phoenix, AZ 85020-5505 | 2015-05-21 |
| 1255759981 | Reda Issa | Ophthalmology | 1750 E Glendale Ave, Phoenix, AZ 85020 | 2014-03-31 |
| 1962828632 | Laura P Reyes | Technician/Technologist | 1750 E Glendale Ave, Phoenix, AZ 85020-5505 | 2014-03-05 |
| 1336576982 | Yousef J Cruz-inigo | Ophthalmology | 1750 E Glendale Ave, Phoenix, AZ 85020-5505 | 2013-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683537 | Joseph A Jones | Pharmacist | 7543 N 20th St, Phoenix, AZ 85020 | 2019-05-01 |
| 1871022210 | Amber L Enright | Physical Therapist | 1675 E Morten Ave, 4155, Phoenix, AZ 85020 | 2017-06-08 |
| 1518407683 | Harmony Dental Partners, LLC | Dentist | 7150 North 7th Street, Phoenix, AZ 85020 | 2017-03-08 |
| 1104369495 | Michelle Mastro | Registered Nurse | 1234 E. Northern Avenue, Phoenix, AZ 85020 | 2016-11-18 |
| 1912363003 | Charles D. Atkinson | Social Worker | 1716 East Seldon Lane, Phoenix, AZ 85020 | 2016-01-06 |
| 1477928471 | Erin Testa | Psychologist | 7600 N 16th St Ste 218, Phoenix, AZ 85020 | 2015-12-02 |
| 1972977569 | Borpan Monitoring, Pllc | Psychiatry & Neurology | 7000 N 16th Street Ste 120 # 281, Phoenix, AZ 85020 | 2015-11-19 |
| 1275906984 | Summer Macey | Nurse Practitioner | 9225 N. 3rd St #304, Affiliated Hospitalists, Phoenix, AZ 85020 | 2015-11-03 |
| 1356712772 | Maurie S Comenzo | Clinic/Center | 11024 North 28th Drive/suite #200, Lake Biltmore Corporate Center, Phoenix, AZ 85020 | 2015-10-12 |
| 1700260692 | Stansberry Family Dentistry Pllc | Dentist | 7501 N. 16th St. #100, Phoenix, AZ 85020 | 2015-07-10 |
| Find all providers in zip 85020 | ||||
| Taxonomy Code | 156FX1101X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ophthalmic Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679120968 | Evelyn Valenzuela | Technician/Technologist | 4800 N 22nd St, Phoenix, AZ 85016-4701 | 2019-08-21 |
| 1225417348 | Associated Retina Consultants | Technician/Technologist | 1750 E Glendale Ave, Phoenix, AZ 85020-5505 | 2015-05-21 |
Please comment or provide details below to improve the information on MRS. RENEE ODELL.
| 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.