Healthcare Provider Details

I. General information

NPI: 1952306961
Provider Name (Legal Business Name): RONALD EDGAR POSNER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 06/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9485 MENTOR AVE STE 110
MENTOR OH
44060-8724
US

IV. Provider business mailing address

400 BLOSSOM LANE
ORANGE VILLAGE OH
44022
US

V. Phone/Fax

Practice location:
  • Phone: 440-255-1115
  • Fax:
Mailing address:
  • Phone: 440-542-1270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number35026832P
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: