Provider Demographics
NPI:1952306961
Name:POSNER, RONALD EDGAR (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:EDGAR
Last Name:POSNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 BLOSSOM LANE
Mailing Address - Street 2:
Mailing Address - City:ORANGE VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44022
Mailing Address - Country:US
Mailing Address - Phone:440-542-1270
Mailing Address - Fax:
Practice Address - Street 1:9485 MENTOR AVE
Practice Address - Street 2:STE 110
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-8724
Practice Address - Country:US
Practice Address - Phone:440-255-1115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35026832P207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0115664Medicaid
OHA70941Medicare UPIN
OH0235710001Medicare NSC
OH0115664Medicaid