RENEE A MCINTOSH (O.D.) – Optometrist, NPI 1003057894

RENEE A MCINTOSH (O.D.) is a healthcare provider. based in Draper, Utah. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 47865699934 (UT). The NPI Number for RENEE A MCINTOSH (O.D.) is 1003057894

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
RENEE A MCINTOSH (O.D.)
NPI
1003057894
Phone
(801) 568-0200
Address
11820 S STATE ST
Enumeration Date
9 March 2009
Last Update Date
30 July 2025

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
8015680200
Graduation Year
1999 (27 years ago)
PAC ID
0648291617
Group Practice PAC ID
7618874231
Professional Enrollment ID
I20051219000316
Address ID
UT840207160DR11820STXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Digital endpointsOther names

312 OPTOMETRY in UT

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Provider Addresses for RENEE A MCINTOSH (O.D.)

  • South New Street, Central Area, Draper, Eden, Rockingham County, North Carolina, 27288, United States

    STE. 200

    DRAPER, UT 840207133

    Phone: (801) 568-0200

    Fax: (801) 563-0200

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2024-08-23 • Largest payer in this snapshot: Johnson & Johnson Surgical Vision, Inc. ($20).

Total Amount

$35

General + Research + Ownership

Payments

2

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-12-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051219000316IOptometryUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84020)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618874231View full group profile
NameSpecialtyState
O P T O M E T R YUT
O P T O M E T R YUT
O P H T H A L M O L O G YUT
O P T O M E T R YUT
O P T O M E T R YUT
-UT
O P T O M E T R YNV
O P H T H A L M O L O G YUT
O P H T H A L M O L O G YCA
-UT

Reviews

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Frequently asked questions

Does RENEE A MCINTOSH (O.D.) have a public NPI I can cite?
Public records show RENEE A MCINTOSH (O.D.) under NPI 1003057894.
Quick check: is RENEE A MCINTOSH (O.D.) active?
Public NPPES data shows RENEE A MCINTOSH (O.D.) with an active NPI status right now.
What does the directory say RENEE A MCINTOSH (O.D.) does?
Insurance directories may phrase it differently, but here RENEE A MCINTOSH (O.D.) maps to Optometrist. Clinical services aligned with this taxonomy classification.
What city is tied to RENEE A MCINTOSH (O.D.)?
The directory associates RENEE A MCINTOSH (O.D.) with Draper, Utah. Check all listed addresses for suites or satellite offices.
Who maintains RENEE A MCINTOSH (O.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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