Provider Demographics
NPI:1306841838
Name:RANANI, AMI C (OD)
Entity Type:Individual
Prefix:DR
First Name:AMI
Middle Name:C
Last Name:RANANI
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 1:4 OLD FARM RD
Mailing Address - Street 2:
Mailing Address - City:AMAWALK
Mailing Address - State:NY
Mailing Address - Zip Code:10501-1100
Mailing Address - Country:US
Mailing Address - Phone:914-248-4654
Mailing Address - Fax:914-277-5735
Practice Address - Street 1:380 ROUTE 202
Practice Address - Street 2:
Practice Address - City:SOMERS
Practice Address - State:NY
Practice Address - Zip Code:10589-3222
Practice Address - Country:US
Practice Address - Phone:914-277-5550
Practice Address - Fax:914-277-5735
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-21
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3503152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0575700001OtherMEDICARE DME(DURABLE MEDICAL EQUIPMENT) SUPPLIER #
C26721Medicare ID - Type Unspecified
0575700001OtherMEDICARE DME(DURABLE MEDICAL EQUIPMENT) SUPPLIER #