Provider Demographics
NPI:1447339791
Name:RENEAU, AARON (OD)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:
Last Name:RENEAU
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3106 SILVERBERRY TRL
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77345-5446
Mailing Address - Country:US
Mailing Address - Phone:409-385-7800
Mailing Address - Fax:
Practice Address - Street 1:7561 FM 1960 RD E STE 170
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-3126
Practice Address - Country:US
Practice Address - Phone:281-360-5151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6660TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6660TGOtherSTATE OPTOMETRY LICENSE