MEDICARE: RONALD H KRASNEY M D INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	156FX1100X	Ophthalmic Technician/Technologist

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	180002266C	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053547018
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RONALD H KRASNEY M D INC

Provider Business Mailing Address
First Line	:	29001 CEDAR RD STE 510
Second Line	:
City	:	LYNDHURST
State	:	OH
Zip	:	44124-6501
Country	:	US
Telephone Number	:	440-442-0776
Fax Number	:	440-442-1551

Provider Business Practice Location Address
First Line	:	29001 CEDAR RD STE 510
Second Line	:
City	:	LYNDHURST
State	:	OH
Zip	:	44124-6501
Country	:	US
Telephone Number	:	440-442-0776
Fax Number	:	440-442-1551

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RONALD H KRASNEY
Credential	:	M.D.
Telephone Number	:	440-442-0776

Provider Enumeration Date	:	06/04/2009
Last Update Date	:	06/04/2009

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