DR. BOONLUA RATANAWONGSA M.D.
NPI 1619047917
Ophthalmology in Olean, NY

Q: What is the provider's specialty?

The provider's specialty is Ophthalmology with taxonomy code 207W00000X.

Active since November 08, 2006

2223 W STATE ST, SUITE 107, OLEAN, NY 14760(716) 373-0444(716) 373-5031 Get Directions Write a Review

NPPES record last updated: March 4, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Boonlua Ratanawongsa M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BOONLUA RATANAWONGSA M.D. (NPI 1619047917) is an individual ophthalmology provider in Olean, New York, licensed in New York (118639-1) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1619047917

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. BOONLUA RATANAWONGSACredential: M.D.

Location Address2223 W STATE ST, SUITE 107Olean, NY 14760-1938

Mailing Address2223 W State St, Suite 107Olean, NY 14760-1938 · (716) 373-0444 · Fax (716) 373-5031

Phone(716) 373-0444

Fax(716) 373-5031

Sole ProprietorYes

Enumeration DateNovember 8, 2006

Last NPPES UpdateMarch 4, 2008

✔ NPI 1619047917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in NY · 118639-1

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

2223 W STATE ST, Olean, NY 14760

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Other Identifiers 4

Medicare ID-Type Unspecified075661NY

Medicare UPINB71589NY

Medicaid00590010NY

Medicare PIN063743PA

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

92%24 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.