MEDICARE: JAMES RODNEY LANDRENEAU MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	2022019738	MO
2	207W00000X	Ophthalmology Physician	85613	SC
3	390200000X	Student in an Organized Health Care Education/Training Program
4	207WX0120X	Cornea and External Diseases Specialist Physician	2022019738	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396276135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES RODNEY LANDRENEAU MD

Provider Business Mailing Address
First Line	:	PO BOX 843966
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64184-3966
Country	:	US
Telephone Number	:	573-884-3300
Fax Number	:	573-884-0943

Provider Business Practice Location Address
First Line	:	3215 WINGATE CT STE 102
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65201-7689
Country	:	US
Telephone Number	:	573-884-3937
Fax Number	:	573-884-4868

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2017
Last Update Date	:	07/06/2022

Similar Medicare Providers

1255309514 — TRACY C CRNIC M.D.
Practice Location Address:

3215 WINGATE CT STE 102
COLUMBIA, MO
65201-7689

Practice Phone: 573-884-3937
Practice Fax: 573-884-4868

1407017155 — DR. RANEAT COHEN O.D.
Practice Location Address:

3215 WINGATE CT STE 102
COLUMBIA, MO
65201-7689

Practice Phone: 573-882-8920
Practice Fax: 573-884-1858

1932727120 — JUSTIN MICHAEL KENDALL OD
Practice Location Address:

3215 WINGATE CT STE 103
COLUMBIA, MO
65201-7689

Practice Phone: 573-884-3937
Practice Fax: 573-884-4868

1205511631 — DR. CETIN AKPOLAT MD
Practice Location Address:

3215 WINGATE CT STE 102
COLUMBIA, MO
65201-7689

Practice Phone: 573-884-3937
Practice Fax: 573-884-4868

1093029928 — ARIC D ROBERTSON OD PLLC
Practice Location Address:

1321 N COLUMBIA CENTER BLVD
KENNEWICK, WA
99336-7689

Practice Phone: 509-735-3128
Practice Fax: 509-736-2367

1831403773 — MR. ARIC DAVID ROBERTSON O.D
Practice Location Address:

1321 N COLUMBIA CENTER BLVD
KENNEWICK, WA
99336-7689

Practice Phone: 509-735-3022
Practice Fax:

Directions to “ JAMES RODNEY LANDRENEAU MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.