Provider Demographics
NPI:1548356066
Name:BACHNER, RENEE (OPTICIAN)
Entity type:Individual
Prefix:MS
First Name:RENEE
Middle Name:
Last Name:BACHNER
Suffix:
Gender:F
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 SOUTH MAIN STREET
Mailing Address - Street 2:TOTAL FOCUS EYEWEAR
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956
Mailing Address - Country:US
Mailing Address - Phone:845-638-3806
Mailing Address - Fax:845-638-3809
Practice Address - Street 1:22 SOUTH MAIN STREET
Practice Address - Street 2:TOTAL FOCUS EYEWEAR
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956
Practice Address - Country:US
Practice Address - Phone:845-638-3806
Practice Address - Fax:845-638-3809
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYC005518-1156FX1800X
NYC-005518-1156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician