Provider Demographics
NPI:1932343415
Name:JOHN P DOWNER, OD
Entity Type:Organization
Organization Name:JOHN P DOWNER, OD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:O.D.
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:P
Authorized Official - Last Name:DOWNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-426-7787
Mailing Address - Street 1:2468 DAYTON XENIA RD
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45434-7168
Mailing Address - Country:US
Mailing Address - Phone:937-426-7787
Mailing Address - Fax:937-426-7782
Practice Address - Street 1:2468 DAYTON XENIA RD
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45434-7168
Practice Address - Country:US
Practice Address - Phone:937-426-7787
Practice Address - Fax:937-426-7782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-28
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5025152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty