DR. VIRGINIA ANN BONOLI (NPI# 1508992967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508992967 |
| Entity Type | Individual |
| Full Name | DR. VIRGINIA ANN BONOLI |
| Credential | O.D. |
| Practice Address |
120 Stockwell Dr Avon MA 02322-1149 |
| Practice Telephone | 5082324012 |
| Practice Fax Number | 5082324013 |
| Mailing Telephone | 5088373790 |
| Mailing Fax Number | 5084842008 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-04-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3404 | MA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | AETNA | 5031433 | 01 |
| MA | BC/BS | W16552 | 01 |
| Street Address |
120 STOCKWELL DR |
| City | AVON |
| State | MA |
| Zip Code | 02322-1149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033229653 | Costco Wholesale Corporation | Pharmacy | 120 Stockwell Dr, Avon, MA 02322 | 2006-08-30 |
| 1891181897 | Costco Wholesale Corporation | Hearing Aid Equipment | 120 Stockwell Dr, Avon, MA 02322-1149 | 2015-04-07 |
| 1639563836 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 120 Stockwell Dr, Avon, MA 02322-1149 | 2015-03-25 |
| 1922345321 | Cathleen Ellen Brien | Pharmacist | 120 Stockwell Dr, Avon, MA 02322-1149 | 2013-01-07 |
| 1134465974 | Laurie Ann Barron | Pharmacist | 120 Stockwell Dr, Avon, MA 02322-1149 | 2012-12-26 |
| 1518232073 | Mary Elizabeth Sullivan | Pharmacist | 120 Stockwell Dr, Avon, MA 02322-1149 | 2012-03-16 |
| 1467735662 | Noreen E Sesin | Pharmacist | 120 Stockwell Dr, Avon, MA 02322-1149 | 2011-09-23 |
| 1295028215 | Kinara Sara Yang | Pharmacist | 120 Stockwell Dr, Costco Avon, Avon, MA 02322-1149 | 2011-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942478284 | Wendy Champagnie Williams | Social Worker | 185 North Main Street, Avon, MA 02322 | 2008-02-20 |
| 1952521395 | Bruce Mitchell Doyle | Dentist | 255 West Main St, Avon, MA 02322 | 2007-04-26 |
| 1720112527 | Town of Avon | Local Education Agency (LEA) | 12 Patrick Clark Drive, Avon, MA 02322 | 2007-03-15 |
| 1649319476 | Grow-associates, Inc. | Day Training, Developmentally Disabled Services | 101 Wales Ave, Avon, MA 02322-1006 | 2007-02-06 |
| 1659377802 | Premier Diagnostic Services, Inc. | Radiologic Technologist | 54 Bodwell St, Suite C, Avon, MA 02322-1111 | 2005-06-22 |
| 1134307408 | Premier Diagnostic Services Inc 2 | Technician, Cardiology | 54 Bodwell St, Rear, Avon, MA 02322-1111 | 2008-02-08 |
| 1538426077 | Embrace Possibilities Inc. Adh | Clinic/Center | 355 Bodwell St, Avon, MA 02322-1159 | 2012-04-23 |
| 1154547446 | Caritas Good Samaritan Occupational Health Services,inc. | Clinic/Center | 75 Stockwell Dr, Avon, MA 02322-1170 | 2007-04-17 |
| 1083927693 | Steward Good Samaritan Occupational Health Services, Inc. | Clinic/Center | 75 Stockwell Dr, Avon, MA 02322-1170 | 2010-07-23 |
| 1255666525 | Leslie A Altieri | Nurse Practitioner | 75 Stockwell Dr, Avon, MA 02322-1170 | 2009-10-05 |
| Find all providers in zip 02322 | ||||
| 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 |
|---|---|---|---|---|
| 1720613136 | Northern Ohio Eye Consultants Inc | Optometrist | 36991 American Way, Avon, OH 44011-4060 | 2020-03-05 |
| 1174165229 | City Optical Co., Inc. | Optometrist | 7900 E Us Highway 36 Ste D, Avon, IN 46123-7791 | 2019-10-10 |
| 1518519966 | Chan Thanh Van Tran | Optometrist | 35825 Detroit Rd, Avon, OH 44011-3000 | 2019-07-15 |
| 1821581554 | Eric Ward | Optometrist | 35825 Detroit Rd Ste 107, Avon, OH 44011-3001 | 2018-06-07 |
| 1376078451 | Norman Eyecare Ltd. | Optometrist | 5250 E Us Highway 36 Ste 240, Avon, IN 46123-9142 | 2017-04-26 |
| 1023423787 | Woodall Eye Care, P.C. | Optometrist | 479 Creekwood Dr, Unit #158, Avon, IN 46123-9276 | 2014-06-20 |
| 1891120564 | Michael Dennis Barry | Optometrist | 171 Yoder Av., Avon, CO 81620-1910 | 2013-09-12 |
| 1407085681 | Andrea Lynne Fisher | Optometrist | 38530 Chester Rd, Suite 300, Avon, OH 44011-4047 | 2009-07-08 |
| 1073741849 | Elizabeth D Allspaw | Optometrist | 8111 E Us Highway 36, Avon, IN 46123 | 2009-06-30 |
| 1649424037 | Antonio Martinnez Turner Sr. | Optometrist | 5201 E Us Highway 36, 402, Avon, IN 46123-7837 | 2008-11-11 |
| Find all providers in AVON | ||||
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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.