JOSEPH JOHN THEODORE RENAUD (OD) – Optometrist, NPI 1952926636

JOSEPH JOHN THEODORE RENAUD (OD) is a healthcare provider. based in Shelton, Washington. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 61074366 (WA). The NPI Number for JOSEPH JOHN THEODORE RENAUD (OD) is 1952926636

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPH JOHN THEODORE RENAUD (OD)
NPI
1952926636
Phone
(360) 426-5578
Address
422 W BIRCH ST
Enumeration Date
9 June 2020
Last Update Date
10 June 2020

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
3603576683
Graduation Year
2020 (6 years ago)
PAC ID
9739506213
Group Practice PAC ID
8820080237
Professional Enrollment ID
I20200824001002
Address ID
WA985025735OL1625XSWXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,098 OPTOMETRY in WA

Provider Addresses for JOSEPH JOHN THEODORE RENAUD (OD)

  • 422 W BIRCH ST

    SHELTON, WA 985841735

    Phone: (360) 426-5578

    Fax: (360) 462-5580

    Type: Mailing

  • 1405 Harrison Ave NW Ste 101

    Olympia, WA 985025327

    Phone: (360) 357-5548

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $1,206.

Total Amount is formed as General ($1,206) + Research ($0) + Ownership ($0) = $1,206.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Alcon Vision LLC ($767).

Total Amount

$1,206

General + Research + Ownership

Payments

40

Total payment records

General Amount

$1,206

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2020-08-24

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
I20200824001002IOptometryWATBD

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 98584)

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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: 8820080237View full group profile
NameSpecialtyState
O P T O M E T R YWA
O P T O M E T R YWA
O P T O M E T R YOR
O P T O M E T R YWA
O P T O M E T R YIL
-WA
O P T O M E T R YMA
O P T O M E T R YWA
O P T O M E T R YWA

Reviews

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Frequently asked questions

Can I verify JOSEPH JOHN THEODORE RENAUD (OD) with an NPI only?
You can start verification with NPI 1952926636 for JOSEPH JOHN THEODORE RENAUD (OD), then check state licensing separately.
Is JOSEPH JOHN THEODORE RENAUD (OD) still practicing?
JOSEPH JOHN THEODORE RENAUD (OD) is currently listed as active in the public NPI registry.
What is JOSEPH JOHN THEODORE RENAUD (OD)'s specialty?
The listing groups JOSEPH JOHN THEODORE RENAUD (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
What address line appears for JOSEPH JOHN THEODORE RENAUD (OD)?
JOSEPH JOHN THEODORE RENAUD (OD)'s geographic hint is Shelton, Washington in our summary view.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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