MEDICARE: VALERIE RASNER OD

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	10725T	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1447258868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE RASNER OD

Provider Business Mailing Address
First Line	:	19530 VAN BUREN BLVD
Second Line	:	SUITE G-8
City	:	RIVERSIDE
State	:	CA
Zip	:	92508-9455
Country	:	US
Telephone Number	:	951-656-0500
Fax Number	:	951-697-0101

Provider Business Practice Location Address
First Line	:	19530 VAN BUREN BLVD
Second Line	:	SUITE G-8
City	:	RIVERSIDE
State	:	CA
Zip	:	92508-9455
Country	:	US
Telephone Number	:	951-656-0500
Fax Number	:	951-697-0101

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

Provider Enumeration Date	:	07/09/2005
Last Update Date	:	10/24/2024

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