IndividualActive
Renee Odell, ST
NPI 1821453689 · Ophthalmic Assistant · Phoenix, AZ
Provider details
- NPI number
- 1821453689
- Entity type
- Individual
- Primary specialty
- Ophthalmic AssistantEye and Vision Services Providers
- Credential
- ST
- Sex
- Female
- Sole proprietor
- Yes
- License
- 207W00000X (AZ)
Practice location
1750 E Glendale Ave
Phoenix, AZ 85020-5505
Phone: (602) 242-4928
Fax: (602) 249-4813
Mailing address
1750 E Glendale Ave
Phoenix, AZ 85020-5505
Registry dates
- Enumerated
- 2015-12-22
- Last updated
- 2015-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.