DR. MICHAEL G BONNER (NPI# 1407881501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407881501 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL G BONNER |
| Credential | OD |
| Practice Address |
435 River Ave Williamsport PA 17701-3722 |
| Mailing Address |
137 Jpm Rd Lewisburg PA 17837-9313 |
| Practice Telephone | 5703268070 |
| Practice Fax Number | 5703260396 |
| Mailing Telephone | 5705233937 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2011-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OEG000810 | PA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE SHIELD | 2027189 | 01 | |
| CAPITAL BLUE CROSS | 50099291 | 01 | |
| PA | 1012670710001 | 05 | |
| PA | RAILROAD MEDICARE | P00943504 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356997324 | Michael Bonner | Counselor | 1311 Chisholm Trl Ste 506, Round Rock, TX 78681-2970 | 2019-08-14 |
| 1942335294 | Michael Paul Bonner Sr. | Dentist | 6316 Azle Ave Ste 200, Lake Worth, TX 76135-2454 | 2007-02-23 |
| 1740889641 | Michael A Bonner | Social Worker | 1490 E Main St, Columbus, OH 43205-2140 | 2020-10-21 |
| 1821178526 | Michael Bonner | Nurse Practitioner | 1500 Weiss St, Saginaw, MI 48602-5251 | 2006-10-17 |
| 1891801619 | Michael Bonner | Psychologist | 106 Milford St, Suite 104, Salisbury, MD 21804-6953 | 2006-08-22 |
| 1619911195 | Michael H. Bonner | Internal Medicine | 5000 W National Ave, Zablocki Va Primary Care, Milwaukee, WI 53295-0001 | 2006-06-15 |
| 1205807492 | Michael Bonner | Physical Therapist | 1430 Lakeland Hills Blvd, Lakeland, FL 33805 | 2006-01-27 |
| Street Address |
435 RIVER AVE |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-3722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730176355 | Lynnwood A Walmer | Ophthalmology | 435 River Ave, Williamsport, PA 17701-3722 | 2005-09-29 |
| 1932752094 | Christine Gonzales Shifflet | Optometrist | 435 River Ave, Williamsport, PA 17701-3722 | 2019-07-18 |
| 1245711068 | Alison Luzik | Audiologist | 435 River Ave, Williamsport, PA 17701-3722 | 2018-08-29 |
| 1295215234 | Eric Jarrett | Optometrist | 435 River Ave, Williamsport, PA 17701-3722 | 2018-08-20 |
| 1164802815 | Riverview Orthotics Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 435 River Ave, Williamsport, PA 17701-3722 | 2015-06-08 |
| 1912247198 | Frank T Dominick IIi | Prosthetic/Orthotic Supplier | 435 River Ave, Williamsport, PA 17701-3722 | 2013-02-25 |
| 1609112689 | Joshua Alan Bower | Physician Assistant | 435 River Ave, Williamsport, PA 17701-3722 | 2012-12-20 |
| 1306109087 | Abbey J Bonnell | Optometrist | 435 River Ave, Williamsport, PA 17701-3722 | 2012-06-19 |
| 1366733933 | Bernstein Hilliker Hartzell Optical Shop | Durable Medical Equipment & Medical Supplies | 435 River Ave, Williamsport, PA 17701-3722 | 2011-04-29 |
| 1750601845 | Leah M Warner | Optometrist | 435 River Ave, Williamsport, PA 17701-3722 | 2010-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| 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 |
|---|---|---|---|---|
| 1487798658 | Robert Thomas Nible | Optometrist | 801 Shiffler Ave, Williamsport, PA 17701-3733 | 2007-02-19 |
| 1437232915 | Thomas J Gmitter | Optometrist | 567 E Third St, Williamsport, PA 17701 | 2006-10-20 |
| 1861426660 | Curtis Paul Phibbs | Optometrist | 567 E 3rd St, Williamsport, PA 17701-5316 | 2006-07-10 |
| 1336185495 | Thomas Robert Piccirilli | Optometrist | 1831 Lycoming Creek Rd, Williamsport, PA 17701-1523 | 2006-06-20 |
| 1629033220 | Steven M. Kriner | Optometrist | 1879 E 3rd St, Williamsport, PA 17701-3924 | 2006-04-18 |
| 1881680635 | Anthony F. Campana | Optometrist | 1202 Clayton Ave, Williamsport, PA 17701 | 2005-09-26 |
| 1245235357 | David A. Briggs | Optometrist | 2443 E 3rd St, Williamsport, PA 17701-4005 | 2005-06-15 |
| 1932752094 | Christine Gonzales Shifflet | Optometrist | 435 River Ave, Williamsport, PA 17701-3722 | 2019-07-18 |
| 1295215234 | Eric Jarrett | Optometrist | 435 River Ave, Williamsport, PA 17701-3722 | 2018-08-20 |
| 1124378955 | Price Optometric Group LLC | Optometrist | 567 E 3rd St, Williamsport, PA 17701-5316 | 2012-09-19 |
| Find all providers in WILLIAMSPORT | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
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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.