MEDICARE: MR. BRENT M KROENING

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	156FX1800X	Optician	004228-1	NY

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

General Provider Information

NPI Number	:	1578893665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BRENT M KROENING

Provider Business Mailing Address
First Line	:	968 PAYNE AVE
Second Line	:
City	:	NORTH TONAWANDA
State	:	NY
Zip	:	14120-3234
Country	:	US
Telephone Number	:	716-692-5480
Fax Number	:	716-692-4010

Provider Business Practice Location Address
First Line	:	968 PAYNE AVE
Second Line	:
City	:	NORTH TONAWANDA
State	:	NY
Zip	:	14120-3234
Country	:	US
Telephone Number	:	716-692-5480
Fax Number	:	716-692-4010

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

Provider Enumeration Date	:	01/12/2010
Last Update Date	:	01/12/2010

Similar Medicare Providers

1225168990 — MID-CITY OPTICIANS
Practice Location Address:

968 PAYNE AVE
NORTH TONAWANDA, NY
14120-3234

Practice Phone: 716-692-5480
Practice Fax: 716-692-4010

1851621957 — MARIA ATTEA
Practice Location Address:

968 PAYNE AVE
NORTH TONAWANDA, NY
14120-3234

Practice Phone: 716-692-5480
Practice Fax:

1659601722 — MR. ROSS H FOLMSBEE
Practice Location Address:

968 PAYNE AVE
NORTH TONAWANDA, NY
14120-3234

Practice Phone: 716-692-5480
Practice Fax: 716-692-4010

1821328832 — MRS. JANET MARIE REHNER
Practice Location Address:

968 PAYNE AVE
NORTH TONAWANDA, NY
14120-3234

Practice Phone: 716-692-5480
Practice Fax: 716-692-4010

1992848329 — NORTH JERSEY PROFESSIONAL REHABILITATION LLC
Practice Location Address:

122 NORTH CHURCH RD , LOWER LEVEL
SPARTA, NJ
07871-3234

Practice Phone: 973-940-8910
Practice Fax: 973-940-8918

1952421398 — NISHA P CHHABRIA MD
Practice Location Address:

4631 NORTH CONGRESS AVE , SUITE 200
WEST PALM BEACH, FL
33407-3234

Practice Phone: 561-845-0500
Practice Fax: 561-296-1101

Directions to “ MR. BRENT M KROENING ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.