Provider Demographics
NPI:1053390401
Name:DOWNING, RONALD W (OD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:W
Last Name:DOWNING
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 1:135 S KENNEBEC AVE
Mailing Address - Street 2:
Mailing Address - City:MC CONNELSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43756-1211
Mailing Address - Country:US
Mailing Address - Phone:740-962-4567
Mailing Address - Fax:740-962-3473
Practice Address - Street 1:135 S KENNEBEC AVE
Practice Address - Street 2:
Practice Address - City:MC CONNELSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43756-1211
Practice Address - Country:US
Practice Address - Phone:740-962-4567
Practice Address - Fax:740-962-3473
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-13
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2929152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0115404Medicaid
OH0406040002Medicare NSC
OH0368723Medicare PIN
OHT46211Medicare UPIN
OH0115404Medicaid
OH0406040001Medicare NSC
OH0368722Medicare PIN
OH0368724Medicare PIN