Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Maxwell Edward Rennaker, OD

Individual provider Optometrist · NPI 1366934879

Dr. Maxwell Edward Rennaker, OD is an Optometry in Grand Rapids, Michigan. Graduated from Ohio State University - College of Optometry in 2018, 8 years ago. Practices with Eye Care Associates of Marietta LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Michigan and Ohio.

Years since qualifying
8
Trained at
Ohio State University - College of Optometry
Licensed in
MI, OH
In the registry since
2018
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2700 5 Mile Rd NE Ste 102
Grand Rapids, MI 49525-6516
Phone: (330) 908-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4901005238 (MI)
Optometrist Taxonomy 152W00000X · Licence OPT.006660 (OH)

Record details

NPI number1366934879
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 31, 2018
Last updated in NPPESSeptember 9, 2020
Certification dateSeptember 9, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2018 (8 years in practice)
Group practice Eye Care Associates Of Marietta Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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