Provider Demographics
NPI:1861389256
Name:RENNY S SARDELLA OD PC
Entity type:Organization
Organization Name:RENNY S SARDELLA OD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RENNY
Authorized Official - Middle Name:S
Authorized Official - Last Name:SARDELLA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:610-466-9909
Mailing Address - Street 1:1810 E LINCOLN HWY
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-2408
Mailing Address - Country:US
Mailing Address - Phone:610-466-9909
Mailing Address - Fax:484-460-2105
Practice Address - Street 1:1810 E LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-2408
Practice Address - Country:US
Practice Address - Phone:610-466-9909
Practice Address - Fax:484-460-2105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-19
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty