Provider Demographics
NPI:1801985684
Name:RONALD W DOWNING OD
Entity type:Organization
Organization Name:RONALD W DOWNING OD
Other - Org Name:<UNAVAIL>
Other - Org Type:
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:740-754-3800
Mailing Address - Street 1:95 W DAVE LONGABERGER AVE
Mailing Address - Street 2:
Mailing Address - City:DRESDEN
Mailing Address - State:OH
Mailing Address - Zip Code:43821-9687
Mailing Address - Country:US
Mailing Address - Phone:740-754-3800
Mailing Address - Fax:740-754-2050
Practice Address - Street 1:95 W DAVE LONGABERGER AVE
Practice Address - Street 2:
Practice Address - City:DRESDEN
Practice Address - State:OH
Practice Address - Zip Code:43821-9687
Practice Address - Country:US
Practice Address - Phone:740-754-3800
Practice Address - Fax:740-754-2050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2008-06-30
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
OH0406040001Medicare NSC
OH0368722Medicare PIN