Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RENERICK S SLACK, OD
ActiveRENERICK S SLACK, OD is a Optometrist healthcare provider located in CALIFORNIA, Maryland. NPI 1144453812 is currently active in the NPPES registry. Verify at CMS.
Optometrist · CALIFORNIA, MD
Registration Details
- NPI Number
- 1144453812
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 28, 2009 (16.780185331095 yrs)
- Last Updated
- Mar 18, 2021
- Licenses
-
0618001887 (VA)TA2499 (MD)
Practice Information
- Address
-
23105 THREE NOTCH RD STE ACALIFORNIA, MD, 206192417Browse MD providers · Browse ZIP 20619
- Phone
- 3018632020
- Fax
- 3018632020
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in CALIFORNIA, MD
| Name | Credential | NPI |
|---|---|---|
| DR. MARK LEBAR | O.D. | 1548292337 |
| DR. LAICE LANETTE JEFFRIES | O.D. | 1215032461 |
| DR. CHRISTINE MCKIMMIE | O.D. | 1851458491 |
| DR. JENA MARIE JUNG | O.D. | 1871636472 |
| MICHELLE KOO | OD | 1467930479 |
| DR. ADAM JEFFREY DAVIS | OD | 1760243059 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.