MEDICARE: RONALD W DOWNING OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	2929	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922197797
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RONALD W DOWNING OD

Provider Business Mailing Address
First Line	:	135 S KENNEBEC AVE
Second Line	:
City	:	MC CONNELSVILLE
State	:	OH
Zip	:	43756-1211
Country	:	US
Telephone Number	:	740-962-4567
Fax Number	:	740-962-3473

Provider Business Practice Location Address
First Line	:	135 S KENNEBEC AVE
Second Line	:
City	:	MC CONNELSVILLE
State	:	OH
Zip	:	43756-1211
Country	:	US
Telephone Number	:	740-962-4567
Fax Number	:	740-962-3473

Authorized Official
Title or Position	:	OWNER
Name	:	MR. RONALD W DOWNING
Credential	:	OD
Telephone Number	:	740-962-4567

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	07/01/2008

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