Provider Demographics
NPI:1417025313
Name:ORLOWSKI, RONNIE R
Entity Type:Individual
Prefix:MR
First Name:RONNIE
Middle Name:R
Last Name:ORLOWSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:LE ROY
Mailing Address - State:NY
Mailing Address - Zip Code:14482-1528
Mailing Address - Country:US
Mailing Address - Phone:585-356-8101
Mailing Address - Fax:
Practice Address - Street 1:37 SUMMIT ST
Practice Address - Street 2:
Practice Address - City:LE ROY
Practice Address - State:NY
Practice Address - Zip Code:14482-1528
Practice Address - Country:US
Practice Address - Phone:585-356-8101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005563-1156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician