Larry James Bonderud in Shelby - Optometrist
Larry James Bonderud - NPI 1164414322
Larry James Bonderud is a Optometrist in Shelby, Montana. Larry James Bonderud practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Larry James Bonderud is 1164414322. The last update date is 2010-05-26.
Larry James Bonderud's current location address is 865 Oilfield Ave, Shelby, Montana. You can contact this provider via phone number 4064345196 and fax number 4064345197. The mailing address for Larry James Bonderud is 865 Oilfield Ave, Shelby, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry James Bonderud |
|---|---|
| Address | 865 Oilfield Ave, Shelby, Montana |
| Phone Number | 4064345196 |
| Fax Number | 4064345197 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1164414322 |
|---|---|
| Provider Enumeration Date | 2005-08-15 |
| Last Updated Date | 2010-05-26 |
Provider Mailing Address Detail
| Address | 865 Oilfield Ave |
|---|---|
| City | Shelby |
| State | Montana (MT) |
| Post Code | 594742702 |
| Phone Number | 4064345196 |
| Fax Number | 4064345197 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 393 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 25830 | MT | BC/BS PROVIDER # | |
| 410016078 | MT | RAILROAD PROVIDER # | |
| 393 | MT | STATE TAX ID # | |
| MSF0007633 | MT | MT STATE FUND PROVIDER # | |
| 481389 | MT | -- | |
| 810378082001 | MT | EBMS PROVIDER # |
Post Comment/ Review Below
What is the unique provider identifier assigned to Larry James Bonderud?
The Larry James Bonderud has been issued the NPI (National Provider Identifier) 1164414322 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Larry James Bonderud's physical address?
The Larry James Bonderud is physically located at 865 Oilfield Ave, in the city of Shelby, MT, with the postal code 594742702.
What is the area of specialization for Larry James Bonderud, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Larry James Bonderud is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
On what date did Larry James Bonderud receive its 1164414322 assignment from the Centers for Medicare & Medicaid Services?
The Larry James Bonderud was assigned its 1164414322 on 2005-08-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Larry James Bonderud most recently updated or revised?
The details related to Larry James Bonderud, including its address, specialty, and other relevant information, were last updated or revised on 2010-05-26.