Provider Demographics
NPI:1194843094
Name:KRASNOFF, STUART (OD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:
Last Name:KRASNOFF
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1562 UNION TPK
Mailing Address - Street 2:EYEMAP INC
Mailing Address - City:NEW HYDE PK
Mailing Address - State:NY
Mailing Address - Zip Code:11040
Mailing Address - Country:US
Mailing Address - Phone:516-352-2316
Mailing Address - Fax:
Practice Address - Street 1:1562 UNION TPK
Practice Address - Street 2:EYEMAP INC
Practice Address - City:NEW HYDE PK
Practice Address - State:NY
Practice Address - Zip Code:11040
Practice Address - Country:US
Practice Address - Phone:516-352-2316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV4066152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC2A751Medicare ID - Type Unspecified
U51391Medicare UPIN