Provider Demographics
NPI:1316518871
Name:BERLINGIERI, RENEE (OD)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:BERLINGIERI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:
Other - Last Name:MAROGY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:38319 TRILLIUM PL
Mailing Address - Street 2:
Mailing Address - City:HARRISON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48045-6864
Mailing Address - Country:US
Mailing Address - Phone:248-633-4296
Mailing Address - Fax:
Practice Address - Street 1:38319 TRILLIUM PL
Practice Address - Street 2:
Practice Address - City:HARRISON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48045-6864
Practice Address - Country:US
Practice Address - Phone:248-633-4296
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-06
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901005525152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist