Provider Demographics
NPI:1922197797
Name:RONALD W DOWNING OD
Entity Type:Organization
Organization Name:RONALD W DOWNING OD
Other - Org Name:MORGAN VISION CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:W
Authorized Official - Last Name:DOWNING
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:740-962-4567
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2929152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0115404Medicaid
OH0115404Medicaid
OH0406040002Medicare NSC