MEDICARE: DR. AMI C RANANI O.D.

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	152W00000X	Optometrist	3503	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0575700001	OTHER		MEDICARE DME(DURABLE MEDICAL EQUIPMENT) SUPPLIER #

General Provider Information

NPI Number	:	1306841838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMI C RANANI O.D.

Provider Business Mailing Address
First Line	:	4 OLD FARM RD
Second Line	:
City	:	AMAWALK
State	:	NY
Zip	:	10501-1100
Country	:	US
Telephone Number	:	914-248-4654
Fax Number	:	914-277-5735

Provider Business Practice Location Address
First Line	:	380 ROUTE 202
Second Line	:
City	:	SOMERS
State	:	NY
Zip	:	10589-3222
Country	:	US
Telephone Number	:	914-277-5550
Fax Number	:	914-277-5735

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	02/14/2013

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