NILAH NICOLE BONHAM (NPI# 1275635534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275635534 |
| Entity Type | Individual |
| Full Name | NILAH NICOLE BONHAM |
| Credential | O.D. |
| Practice Address |
325 W National Avenue Brazil IN 47834 |
| Practice Telephone | 8124430060 |
| Practice Fax Number | 8124465061 |
| Mailing Telephone | 8124430060 |
| Mailing Fax Number | 8124465061 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2014-07-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18003365A | IN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | PTAN | 254870 | 01 |
| IN | INDIANA OLDPAC LIC. | 18003365B | 01 |
| IN | LICENSE | 18003365A | 01 |
| Street Address |
325 W NATIONAL AVENUE |
| City | BRAZIL |
| State | IN |
| Zip Code | 47834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149763 | Stephen P Ernest | Pharmacist | Kroger Pharmacy Store 248, 100 Forest Park Plaza, Brazil, IN 47834 | 2019-11-27 |
| 1891211330 | Melissa Ann Barker | Family Medicine | 115 Murphy Ave, Suite A, Brazil, IN 47834 | 2017-08-16 |
| 1528387412 | Internal Medicine Practice, LLC | Internal Medicine | 1011 E. National Ave, Brazil, IN 47834 | 2010-05-18 |
| 1770778102 | Fcp, Inc. | Clinic/Center | 11295 Ncr 300w, Brazil, IN 47834 | 2007-09-10 |
| 1760605505 | Erin Jenelle Graves | Speech-Language Pathologist | 1841 West County Road 500 North, Brazil, IN 47834 | 2007-04-10 |
| 1568581049 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 107 Villa Court #a, Brazil, IN 47834 | 2007-03-28 |
| 1255491130 | Raymond L Dennany IIi | Dentist | 21 N Washington St, Brazil, IN 47834 | 2006-12-11 |
| 1619054715 | Michael E Whitman | Chiropractor | 501 E Us Hwy 40, Brazil, IN 47834 | 2006-11-01 |
| 1649387937 | John Jay Cash | Dentist | 924 South Forest Avenue, Brazil, IN 47834 | 2006-08-24 |
| 1215952601 | Sally J Sidman | Emergency Medicine | 1206 E. National Avenue, Brazil, IN 47834 | 2006-07-13 |
| Find all providers in zip 47834 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124139787 | Darla Heck Sacopulos | Optometrist | 325 W National Ave, Brazil, IN 47834-2542 | 2006-08-31 |
| 1013989102 | Gary W Nesty | Optometrist | 1515 E National Ave, Brazil, IN 47834-2723 | 2006-02-03 |
| 1629071105 | Alicia Reed-thomas | Optometrist | 603 W National Ave, Brazil, IN 47834-0188 | 2005-05-27 |
| 1144487315 | Gary Nesty | Optometrist | 1515 E National Ave, Brazil, IN 47834-2723 | 2008-05-16 |
| 1710098389 | Eyecare Specialists | Optometrist | 325 W National Ave, Brazil, IN 47834-2542 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467066811 | Greenwood Vision Care LLC | Optometrist | 622 N Madison Ave Ste 9, Greenwood, IN 46142-4052 | 2020-09-03 |
| 1992319719 | Kaitlyn Renae Gibson | Optometrist | 13115 Wicker Ave Ste E, Cedar Lake, IN 46303-7400 | 2020-08-31 |
| 1194333260 | Kelly Ann Foster Lindgren | Optometrist | 1298 Us 31 N, Greenwood, IN 46142-4501 | 2020-07-15 |
| 1437774486 | Meret Thomas-huebner | Optometrist | 1160 W Michigan St Unit 100, Indianapolis, IN 46202-5209 | 2020-06-15 |
| 1164046967 | Dr Bennett LLC | Optometrist | 1850 E Dupont Rd, Fort Wayne, IN 46825-1581 | 2020-06-08 |
| 1316567134 | Phillip G Koultourides, O.d. P.C. | Optometrist | 210 Indianapolis Blvd, Suite B, Schererville, IN 46375 | 2020-04-22 |
| 1568091551 | Nitya Murthy | Optometrist | 3985 W 106th St Ste 120, Carmel, IN 46032-7779 | 2020-04-02 |
| 1801422381 | National Vision Inc | Optometrist | 14002 Hoard Dr Ste 1100, Noblesville, IN 46060-5661 | 2020-03-17 |
| 1417597402 | Duneland Family Eyecare LLC | Optometrist | 101 Beverly Dr Ste B, Chesterton, IN 46304-3471 | 2020-01-08 |
| 1689213365 | National Vision Inc | Optometrist | 2410 Laporte Ave Ste 130, Valparaiso, IN 46383-6969 | 2019-12-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.