National Provider Identifier
Boonlua Ratanawongsa, M.D.
Boonlua Ratanawongsa, M.D. is listed in the NPPES registry with a primary specialty of Ophthalmology Physician in Olean, NY and a listed phone number of (716) 373-0444.
Profile Overview
- NPI
- 1619047917
- Provider Type
- Individual
- Primary Specialty
- Ophthalmology Physician
- Enumeration Date
- November 08, 2006
- Last Updated
- March 04, 2008
Practice Location
- 2223 W State St
- Suite 107
- Olean, NY 14760-1938
Phone: (716) 373-0444
Specialties
- Ophthalmology Physician (207W00000X)
Full Record
- NPI
- 1619047917
- Entity Type
- Individual
- Last Name
- Ratanawongsa
- First Name
- Boonlua
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 2223 W State St
- Mailing Address Line 2
- Suite 107
- Mailing City
- Olean
- Mailing State
- NY
- Mailing ZIP Code
- 14760-1938
- Mailing Country
- US
- Mailing Phone
- (716) 373-0444
- Mailing Fax
- (716) 373-5031
- Practice Street Address
- 2223 W State St
- Practice Address Line 2
- Suite 107
- Practice City
- Olean
- Practice State
- NY
- Practice ZIP Code
- 14760-1938
- Practice Country
- US
- Practice Phone
- (716) 373-0444
- Practice Fax
- (716) 373-5031
- Enumeration Date
- November 08, 2006
- Last Updated
- March 04, 2008
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Ophthalmology Physician (207W00000X)
- Other Identifiers
- 00590010 (NY)