Bonner Eye Clinic Optical Llc

LBN: Bonner Eye Clinic Optical Llc
Bonner Eye Clinic Optical Llc is an health care organization with primary practice located at 1542 Golf Course Rd Ste 201 , Grand Rapids MN 55744-3537. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Bonner Eye Clinic Optical Llc can be contacted via phone (218) 326-3433, or through Mariano, Manuel Jerry via phone (218) 326-3433.

Contact Information

Primary practice address
1542 Golf Course Rd Ste 201 Grand Rapids MN 55744-3537
Phone: (218) 326-3433
Fax: (218) 326-3435
Website:
Map and Directions
Authorized official contact:
Name: Mariano, Manuel Jerry Doctor of Medicine (MD)
Phone: (218) 326-3433

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1093287849
LBN Legal business name Bonner Eye Clinic Optical Llc
DBA Doing business as
Authorized official Mariano, Manuel Jerry Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2018
Last updated Dec 18th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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