JOHN L BONNER EYE CLINIC LTD – NPI #1053351817
Ophthalmology

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.

Health Care Provider Taxonomy Code for Ophthalmology

JOHN L BONNER EYE CLINIC LTD is an ophthalmologist located in GRAND RAPIDS, MN. NPPES has assigned the NPI number 1053351817 to JOHN L BONNER EYE CLINIC LTD on June 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207W00000X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology.

The NPI profile was previously updated about 19 years ago on Oct 17, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHN L BONNER EYE CLINIC LTD below.

NPI Profile for
JOHN L BONNER EYE CLINIC LTD

NPI Number
1053351817
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JOHN L BONNER EYE CLINIC LTD
Primary location
1542 GOLF COURSE RD
SUITE 201
GRAND RAPIDS, MN 55744-9603
Phone: (218) 326-3433 Fax: (218) 326-3435
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TIMOTHY BONNER
PRESIDENT
Phone: (218) 326-3343
Updated
Identifiers

Identifiers for JOHN L BONNER EYE CLINIC LTD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERDMERCMN0186560001
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207W00000X
- Ophthalmology (Primary)		 MN 432
152W00000X
- Optometrist		 MN 432

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.