John L Bonner Eye Clinic Ltd

LBN: John L Bonner Eye Clinic Ltd
John L Bonner Eye Clinic Ltd is an health care organization with primary practice located at 1542 Golf Course Rd Suite 201, Grand Rapids MN 55744-9603. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. John L Bonner Eye Clinic Ltd can be contacted via phone (218) 326-3433, or through Bonner, Timothy Charles via phone (218) 326-3343.

Contact Information

Primary practice address
1542 Golf Course Rd Suite 201 Grand Rapids MN 55744-9603
Phone: (218) 326-3433
Fax: (218) 326-3435
Website:
Map and Directions
Authorized official contact:
Name: Bonner, Timothy Charles Doctor of Medicine (MD)
Phone: (218) 326-3343

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 432 Minnesota
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 432 Minnesota

Profile Details

NPI number 1053351817
LBN Legal business name John L Bonner Eye Clinic Ltd
DBA Doing business as
Authorized official Bonner, Timothy Charles Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2006
Last updated Oct 17th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053351817 NPPES
Minnesota Other 0186560001 DMERC

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