BONAVISTA OPTICS INCORPORATED (NPI# 1477034296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477034296 |
| Entity Type | Organization |
| Organization Name | BONAVISTA OPTICS INCORPORATED |
| Practice Address |
2541 Far Hills Ave Ste 101 Oakwood OH 45419-1552 |
| Practice Telephone | 9375806324 |
| Practice Fax Number | 9379630889 |
| Mailing Telephone | 9375806324 |
| Mailing Fax Number | 9379630889 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |
| Authorized Official Name | MRS. BONNIE J ASHLEY (PRESIDENT) |
| Authorized Official Telephone | 8086345118 |
| Authorized Official Credential | LABOC NCLEC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | OP.017041-SC | OH | Suppliers |
| Street Address |
2541 FAR HILLS AVE STE 101 |
| City | OAKWOOD |
| State | OH |
| Zip Code | 45419-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740661347 | Bonnie J Ashley | Technician/Technologist | 2541 Far Hills Ave Ste 101, Oakwood, OH 45419-1552 | 2015-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962812883 | Velma Barber | Social Worker | 1032 Hampshire Rd, Dayton, OH 45419 | 2014-04-30 |
| 1467894790 | James F. Sheridan | Neurological Surgery | 235 Park Rd, Dayton, OH 45419 | 2013-07-29 |
| 1437365939 | Stacy Marie Purvis | Home Health Aide | 1228 Hale Avenue, Kettering, OH 45419 | 2007-05-14 |
| 1124249727 | Emily Kay Werlein | Counselor | 2600 Far Hills Ave., Suite 304, Dayton, OH 45419 | 2007-05-01 |
| 1568558021 | Dayton Va Medical Center | General Acute Care Hospital | 1730 Ridgeway Rd, Dayton, OH 45419 | 2006-10-04 |
| 1942259742 | David F Vanderburgh | Radiology | 1908 Coolidge Drive, Dayton, OH 45419 | 2006-05-09 |
| 1578552287 | Michael Ian Feldman | Dermatology | 30 Ashridge Rd., Dayton, OH 45419 | 2005-10-14 |
| 1962850222 | Kevin Schmidt Tanager | Pathology | 88 Mdg/sghj, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45419 | 2016-05-27 |
| 1366558645 | Susan K Kahle | Psychologist | 2600 Far Hills Ave, Suite 321, Oakwood, OH 45419 | 2006-08-21 |
| 1548214059 | Bonnie A. Lazor | Internal Medicine | 1110 Oakwood Ave, Oakwood, OH 45419 | 2006-05-20 |
| Find all providers in zip 45419 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356516116 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 3839 Mundy Mill Road, Oakwood, GA 30566 | 2008-04-23 |
| 1629256326 | Brock Garrett O.d.p.c. | Eyewear Supplier (Equipment, not the service) | 4008 Mundy Mill Rd, Oakwood, GA 30566-2807 | 2008-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342186 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 6944 W 130th St, Middleburg Heights, OH 44130-7809 | 2020-09-25 |
| 1518574367 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 36596 Euclid Ave, Willoughby, OH 44094 | 2020-09-25 |
| 1689281578 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 4365 Richmond Rd, Warrensville Heights, OH 44122-6105 | 2020-09-25 |
| 1952918070 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1677 Home Ave, Akron, OH 44310-1659 | 2020-09-24 |
| 1467069377 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 38292 Colorado Ave, Avon, OH 44011-1002 | 2020-09-24 |
| 1144844291 | Eyestyle of America Ltd | Eyewear Supplier (Equipment, not the service) | 10700 Montgomery Rd Ste 221, Montgomery, OH 45242-3296 | 2020-06-04 |
| 1770123770 | Emx Eye Care PC | Eyewear Supplier (Equipment, not the service) | 3464 Pentagon Blvd, Beavercreek, OH 45431-1790 | 2020-01-08 |
| 1982245262 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 4049 The Strand E, Columbus, OH 43219-6131 | 2019-10-08 |
| 1508414004 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 7875 Montgomery Rd Spc 2225, Cincinnati, OH 45236-4392 | 2019-08-28 |
| 1093361891 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1918 Hilliard Rome Rd, Hilliard, OH 43026-7566 | 2019-08-16 |
| 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.