B. Ratanawongsa, MD, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

118639-1 Issued in NY

Legal business name

B. RATANAWONGSA, MD, PC

Practice address

2223 W State St
Suite 107
Olean, NY 14760-1938

Phone

(716) 373-0444

Fax

(716) 373-5031

NPI assigned

Feb 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Boonlua Ratanawongsa, MDNPI 1619047917

Title

President

Phone

(716) 373-0444

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Boonlua Ratanawongsa, M.D.

  • Ophthalmology Physician
  • Olean, NY
  • NPI 1619047917
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285769000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CIRCLE OAK DR",
            "city": "ALLEGANY",
            "state": "NY",
            "postal_code": "147061101",
            "telephone_number": "716-373-0444",
            "fax_number": "716-373-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 W STATE ST",
            "address_2": "SUITE 107",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601938",
            "telephone_number": "716-373-0444",
            "fax_number": "716-373-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B. RATANAWONGSA, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RATANAWONGSA",
        "authorized_official_first_name": "BOONLUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-373-0444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "118639-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00590010",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audiology Services of Wny PLLC
• Audiology Solutions, PLLC
• Jen Austin
• Kiersten Austin
• Kuntal D Avashia, M.D.
• David W Bailey, MD
• Linda Baker
• John A. Balacki, M.D.
• Deanna Baldwin
• Melissa Ann Ball, BS, MSED, NCC, LMCH

• Ophthalmology Physician in Olean, NY
• Providers in Olean, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.