Physician Compare National (NPI:1528048311)

HEALTHCARE PROVIDER: RONALD J AVENIA M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1528048311
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3274656038
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111206000084
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AVENIA
	Individual professional last name
Provider First Name	RONALD
	Individual professional first name
Provider Middle Name	JOSEPH
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1975
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	410 GLEN AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 302
	Group Practice or individual's line 2 address
City	BLOOMSBURG
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	178151200
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5703870600
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y