Provider Demographics
NPI:1811515190
Name:RENTERIA-CONTRERAS, ABIGAIL ELIZABETH (OD)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:ELIZABETH
Last Name:RENTERIA-CONTRERAS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2835 MIDLAND RD
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-2760
Mailing Address - Country:US
Mailing Address - Phone:989-323-1608
Mailing Address - Fax:
Practice Address - Street 1:700 COURT ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-4251
Practice Address - Country:US
Practice Address - Phone:989-921-6730
Practice Address - Fax:989-771-7044
Is Sole Proprietor?:No
Enumeration Date:2020-07-13
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901005460152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist