LARRY J. BONDERUD, OD (NPI# 1497246722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497246722 |
| Entity Type | Organization |
| Organization Name | LARRY J. BONDERUD, OD |
| Other Organization Name | NORTHERN MONTANA EYECARE |
| Practice Address |
865 Oilfield Ave Ste 1 Shelby MT 59474-2702 |
| Practice Telephone | 4064345196 |
| Practice Fax Number | 4064345197 |
| Mailing Telephone | 4064345196 |
| Mailing Fax Number | 4064345197 |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | LEANN APPLEY (OFFICE MANAGER) |
| Authorized Official Telephone | 4064345196 |
| Is Organization Subpart | Y |
| Parent Organization Name | LARRY J BONDERUD OD, DBA NORTHERN MONTANA EYECARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 393 | MT | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0481389 | 05 |
| Other Name | Type Code |
|---|---|
| Northern Montana Eyecare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952812331 | Larry J. Bonderud, Od | Optometrist | 19 4th Ave Sw, Conrad, MT 59425-2339 | 2017-10-12 |
| Street Address |
865 OILFIELD AVE STE 1 |
| City | SHELBY |
| State | MT |
| Zip Code | 59474-2702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518361559 | Scott Allen Luly | Dentist | 50 Crossroads Drive, Shelby, MT 59474 | 2014-10-20 |
| 1013250950 | Justin Paul Hooker | Podiatrist | 670 Park Ave, Shelby, MT 59474 | 2013-03-28 |
| 1598710691 | Shopko Stores Operating Co LLC | Pharmacy | 1950 Roosevelt Hwy, Shelby, MT 59474-0920 | 2006-05-24 |
| 1659877538 | Jasmine Gonzaga | Registered Nurse | 943 Teton Ave, Shelby, MT 59474-1526 | 2018-04-01 |
| 1285184200 | Kyle Ann Kelsey Spinner | Pharmacist | 1950 W Roosevelt Hwy, Shelby, MT 59474-1549 | 2016-10-13 |
| 1659368512 | Toole County | Ambulance | 825 Oilfield Ave, Shelby, MT 59474-1642 | 2005-10-05 |
| 1669646238 | Shelby School District | Local Education Agency (LEA) | 1010 Oilfield Ave, Shelby, MT 59474-1647 | 2008-04-15 |
| 1245481159 | Marias Healthcare Services Inc | Clinic/Center | 13 1st St S, Sunburst, MT 59474-1663 | 2008-10-09 |
| 1780671834 | Toole County | Home Health | 640 Park Ave, Shelby, MT 59474-1663 | 2005-10-04 |
| 1174526503 | Lance Lynn Stewart | Family Medicine | 670 Park Ave, Shelby, MT 59474-1663 | 2005-05-31 |
| Find all providers in zip 59474 | ||||
| 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 |
|---|---|---|---|---|
| 1194905695 | Randy A. Omlor, Od Pa | Optometrist | 1415 N Lafayette St, Shelby, NC 28150-3406 | 2007-11-13 |
| 1033294350 | Gundersen and Zuker Pllc | Optometrist | 24 S Michigan Ave, Shelby, MI 49455-1240 | 2006-10-26 |
| 1801903968 | Philip Ronald Zitko | Optometrist | 76 W Main St, Shelby, OH 44875-1206 | 2006-08-24 |
| 1124135256 | Edwin Carl Winbigler | Optometrist | 76 West Main St, Shelby, OH 44875-1206 | 2006-08-24 |
| 1790706604 | Andrew S Riemer Do PC | Optometrist | 4140 W Shelby Rd, Shelby, MI 49455-9660 | 2006-07-23 |
| 1487607404 | Rock Edward Svennungsen | Optometrist | 925 Oilfield Ave, Shelby, MT 59474-2703 | 2006-05-19 |
| 1265417125 | Leander Shepard Hamrick | Optometrist | 422 W Warren St, Shelby, NC 28150-5330 | 2005-12-13 |
| 1164414322 | Larry James Bonderud | Optometrist | 865 Oilfield Ave, Shelby, MT 59474-2702 | 2005-08-15 |
| 1679063853 | Joren David Bonderud | Optometrist | 865 Oilfield Ave, Shelby, MT 59474-2702 | 2018-05-14 |
| 1518480078 | Oceana Vision Care LLC | Optometrist | 24 S Michigan Ave, Shelby, MI 49455-1226 | 2017-07-17 |
| Find all providers in SHELBY | ||||
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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.