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NPI Code Detail

MEDICARE: PATRICK M RINER O.D.

MEDICARE: PATRICK M RINER O.D.
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
1152W00000XOptometristOPT000489GA

Other Identifiers

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

General Provider Information

NPI Number : 1811090921
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK M RINER O.D.
Provider Business Mailing Address
First Line : 13100 HWY 144 # 291
Second Line :
City : RICHMOND HILL
State : GA
Zip : 31324-7349
Country : US
Telephone Number : 912-530-8528
Fax Number :
Provider Business Practice Location Address
First Line : 751 W OGLETHORPE HWY
Second Line :
City : HINESVILLE
State : GA
Zip : 31313-4416
Country : US
Telephone Number : 912-530-8528
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2006
Last Update Date : 07/28/2021

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Directions to “ PATRICK M RINER O.D.” Practice Location

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