IndividualActive
Dale Rennells
NPI 1891581435 · Optician · Phoenix, AZ
Provider details
- NPI number
- 1891581435
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- LDO002227 (AZ)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
6150 S 35th Ave
Phoenix, AZ 85041-5004
Phone: (602) 243-8523
Fax: (602) 243-8525
Approximate (ZIP-level) locationGet directions
Mailing address
6150 S 35th Ave
Phoenix, AZ 85041-5004
Registry dates
- Enumerated
- 2025-04-18
- Last updated
- 2025-04-18
- Certified
- 2025-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.