Renaissance Ocular Disease and Trauma Foundation, Inc.
NPI 1174740682 · Optometrist · Lagrange, IN
Renaissance Ocular Disease and Trauma Foundation, Inc. is a Optometrist organization in Lagrange, IN (NPI 1174740682).
Provider details
- NPI number
- 1174740682
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Ricky Weidow, President(260) 463-3421
- License
- 18002670A/B (IN)
Specialties & taxonomies
Eye and Vision Services Providers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Evergreen Eye Clinic
Registry dates
- Enumerated
- 2007-04-19
- Last updated
- 2010-02-27
Frequently asked questions
- What is Renaissance Ocular Disease and Trauma Foundation, Inc.'s NPI number?
- Renaissance Ocular Disease and Trauma Foundation, Inc.'s National Provider Identifier (NPI) is 1174740682, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renaissance Ocular Disease and Trauma Foundation, Inc.?
- Renaissance Ocular Disease and Trauma Foundation, Inc. is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Renaissance Ocular Disease and Trauma Foundation, Inc. located?
- Renaissance Ocular Disease and Trauma Foundation, Inc.'s practice location on file with NPPES is 201 W Wayne St, Lagrange, IN 46761-1850.
- What is Renaissance Ocular Disease and Trauma Foundation, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Renaissance Ocular Disease and Trauma Foundation, Inc. is (260) 463-3421.
- Who is the authorized official for Renaissance Ocular Disease and Trauma Foundation, Inc.?
- The authorized official listed on Renaissance Ocular Disease and Trauma Foundation, Inc.'s NPPES record is Ricky Weidow, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renaissance Ocular Disease and Trauma Foundation, Inc.'s NPI active?
- Yes — Renaissance Ocular Disease and Trauma Foundation, Inc.'s NPI (1174740682) is active in the NPPES registry as of the last update on 2010-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.