John S Bonebrake in Saint Joseph - Optometrist

John S Bonebrake - NPI 1194724328

John S Bonebrake is a Optometrist in Saint Joseph, Missouri. John S Bonebrake practices all healthcare services and medical treatments related to Optometrist. The NPI Number for John S Bonebrake is 1194724328. The last update date is 2023-03-07.

John S Bonebrake's current location address is 707 N 36th St, Saint Joseph, Missouri. You can contact this provider via phone number 8162795683 and fax number 8162795685. The mailing address for John S Bonebrake is 707 N 36th St, Saint Joseph, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name John S Bonebrake
Address 707 N 36th St, Saint Joseph, Missouri
Phone Number 8162795683
Fax Number 8162795685
Sole Proprietor Y
Credentials O.D.

NPI Number Detail

NPI Number 1194724328
Provider Enumeration Date 2005-07-19
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 707 N 36th St
City Saint Joseph
State Missouri (MO)
Post Code 645062968
Phone Number 8162795683
Fax Number 8162795685

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No T02478
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
311944706 MO --
410048243 RR MEDICARE
108900 BC BS
200111698 MO CDS

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FAQs about John S Bonebrake

What is the unique 10-digit identification code issued to John S Bonebrake by the Centers for Medicare & Medicaid Services?

The John S Bonebrake has been assigned the NPI (National Provider Identifier) 1194724328 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where John S Bonebrake is physically located?

The John S Bonebrake is physically situated at the following address: 707 N 36Th St, Saint Joseph, MO, 645062968.

What is John S Bonebrake's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for John S Bonebrake is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.

On what date did the John S Bonebrake receive its 1194724328 assignment from the Centers for Medicare & Medicaid Services?

The John S Bonebrake was assigned its 1194724328 by the Centers for Medicare & Medicaid Services on 2005-07-19.

As of what date were the John S Bonebrake's details last updated?

The information pertaining to the John S Bonebrake, including its address, specialty, and other details, was most recently updated on 2023-03-07.

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