Provider Demographics
NPI:1043294051
Name:DOWNING, DONN BARRY (OD)
Entity type:Individual
Prefix:DR
First Name:DONN
Middle Name:BARRY
Last Name:DOWNING
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:631 E TIPTON ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SEYMOUR
Mailing Address - State:IN
Mailing Address - Zip Code:47274-3519
Mailing Address - Country:US
Mailing Address - Phone:812-522-4444
Mailing Address - Fax:812-522-2634
Practice Address - Street 1:631 E TIPTON ST STE 2
Practice Address - Street 2:SUITE 2
Practice Address - City:SEYMOUR
Practice Address - State:IN
Practice Address - Zip Code:47274-3519
Practice Address - Country:US
Practice Address - Phone:812-522-4444
Practice Address - Fax:812-522-2634
Is Sole Proprietor?:No
Enumeration Date:2005-12-02
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18001976A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000701811OtherANTHEM BCBS
005107OtherSIHO
INP00927161OtherRR MEDICARE
IN100140510Medicaid
005107OtherSIHO
IN5419240014Medicare NSC
INM400038693Medicare PIN