BONNIE CHRISTINE KOVACS


Address: 555 E Broadway Ave Ste 214, Jackson, WY 83001-8640
Phone: 3077331051

BONNIE CHRISTINE KOVACS (NPI# 1710050273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710050273
Entity Type Individual
Full Name BONNIE CHRISTINE KOVACS
Credential O.D.
Practice Address 555 E Broadway Ave Ste 214
Jackson
WY 83001-8640
Mailing Address Po Box 30015 Dpt 93
Salt Lake City
UT 84130-0015
Practice Telephone 3077331051
Mailing Telephone 3077331051
Mailing Fax Number 3077330686
Enumeration Date 2006-11-15
Last Update Date 2019-08-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 243T WY Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
WY 120435100 05
WY MEDICARE DMEPOS 5340400001 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
520 S. Us Hwy 89, Jackson, WY 83001 3077331441 3077348232

Office Location

Street Address 555 E BROADWAY AVE STE 214
City JACKSON
State WY
Zip Code 83001-8640

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NPI Name Taxonomy Address Enumeration
1861006108 Anne Kathleen Milburn Physical Therapist 3620 S Park Drive, Jackson, WY 83001 2020-09-03
1568009637 Katherine Pringle Ford Case Manager/Care Coordinator 2065 E. Limber Pine Road, Jackson, WY 83001 2019-12-07
1043878408 Cossette Burnham Physical Therapist Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 2019-05-31
1982169371 Cynthia Buck Huyffer Social Worker 755a Cache Creek Drive, Jackson, WY 83001 2019-02-10
1093281594 Lara Cilo Speech-Language Pathologist 1300 W. Valley Springs Road, Jackson, WY 83001 2018-10-23
1740776202 Teton Oral and Maxillofacial Surgery Dentist 1160 Alpine Ln Ste 1d, Jackson, WY 83001 2018-07-09
1437642055 Anna Yanchek Physical Therapist 1090 Us- 89, Jackson Hole, WY 83001 2018-06-08
1891200762 Tyler Ross Wright Chiropractor 1325 Us-89, Suite 108, Jackson, WY 83001 2017-12-13
1073027280 Root To Rise Counseling and Consulting, Pllc Social Worker 2033 Dandelion Court, Jackson, WY 83001 2017-11-27
1962923912 Piper Worthington Social Worker 1910 High School Rd, Jackson, WY 83001 2017-06-29
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy 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 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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548884307 Bricker B Buseth Optometrist 2500 Reynolds Rd, Jackson, MI 49201-9376 2020-06-07
1922667682 Brittany Renee Bryant Optometrist 119 Stonebrook Pl Ste A, Jackson, TN 38305-3636 2019-06-06
1023504818 Trent Wayne Martin Optometrist 1000 Vann Dr Ste A, Jackson, TN 38305-6062 2018-07-05
1417478835 Mason Ross Womack Optometrist 810 Court St # 10, Jackson, CA 95642-2132 2017-07-06
1730637521 Ms Eyecare Associates of Jackson, Pllc. Optometrist 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213 2016-09-21
1174923189 Lindsay Katharine Klumpp Optometrist 850 W North St, Ste. 100, Jackson, MI 49202-3196 2014-08-27
1700200227 Mobile Vision LLC Optometrist 1737 Spring Arbor Rd # 164, Jackson, MI 49203-2701 2014-02-05
1831430925 First Sight LLC Optometrist 1316 N State St, Jackson, MS 39202-2003 2013-03-14
1447506381 Morgan Allyce Strand Optometrist 2954 E. Jackson Blvd, Jackson, MO 63755 2012-07-30
1083847776 The Center for Sight P.C. Optometrist 3595 Ann Arbor Rd, Jackson, MI 49202-2703 2009-08-27
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City JACKSON
Zip Code 83001

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Dataset Information

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.

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