DR. JULIE ANN M BONANNI (NPI# 1861456618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861456618 |
| Entity Type | Individual |
| Full Name | DR. JULIE ANN M BONANNI |
| Credential | OD |
| Practice Address |
24 Century Hill Drive Suite 601 Latham NY 12110 |
| Mailing Address |
2 Shalimar Court Loudonville NY 12211 |
| Practice Telephone | 5186902015 |
| Practice Fax Number | 5186900353 |
| Mailing Telephone | 3154457465 |
| Mailing Fax Number | 3154457675 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2015-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | VUT005292-1 | NY | Eye and Vision Services Providers |
| Street Address |
24 CENTURY HILL DRIVE SUITE 601 |
| City | LATHAM |
| State | NY |
| Zip Code | 12110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154963973 | Bayley Archinal | Physical Therapist | 711 Troy-schenectady Road, Ste 216, Latham, NY 12110 | 2019-10-14 |
| 1114410701 | Kimberly A. Hostig Licensed Clinical Social Worker Pllc | Clinic/Center | 8 Stanley Cir Ste 11, Latham, NY 12110 | 2018-06-08 |
| 1710477260 | Colleen Phillips | Physical Therapist | 711 Troy Schenectady Rd Ste 216, Latham, NY 12110 | 2018-05-10 |
| 1528574779 | Deborah Cannon | Specialist | 33c Waterford Avenue East, Latham, NY 12110 | 2017-12-26 |
| 1730600149 | Michael Navarrete | Dentist | 231 Wade Road Ext Unit 101, Latham, NY 12110 | 2017-07-06 |
| 1316499452 | Colonie Asc LLC | Clinic/Center | 207 Troy-schenectady Rd, Colonie, NY 12110 | 2016-10-25 |
| 1720539950 | Tania M Durante | Pharmacist | 1057 Troy-schenectady Rd, Latham, NY 12110 | 2016-10-24 |
| 1417344987 | New York Epilepsy Medicine, PC | Clinic/Center | 3 Lear Jet Ln Ste 203, Latham, NY 12110 | 2015-04-22 |
| 1346664752 | Lauren Gannon | Registered Nurse | 95 Forts Ferry Road, Latham, NY 12110 | 2014-02-06 |
| 1649522756 | Natasha Kapsaroff-ruiz | Nurse Practitioner | 654 Watervliet Shaker Rd, Latham, NY 12110 | 2012-10-12 |
| Find all providers in zip 12110 | ||||
| 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 |
|---|---|---|---|---|
| 1962023796 | Nicole Ann Storey | Optometrist | 920 Albany Shaker Rd Ste 101, Latham, NY 12110-1468 | 2020-05-04 |
| 1629297759 | Dr Elisa Perreault Optometrist PC | Optometrist | 952 Troy Schenectady Rd, Latham, NY 12110-1608 | 2007-04-25 |
| 1215033246 | Robert S. Fox | Optometrist | 1202 Troy-schenectady Rd., Latham, NY 12110 | 2006-09-16 |
| 1316963119 | Rocco F. Loccisano | Optometrist | 400 Troy Schenectady Rd, Latham, NY 12110-3211 | 2006-07-14 |
| 1538120241 | Lisa Sheldon | Optometrist | 560 Troy Schenectady Rd, Empire Vision Centers, Latham, NY 12110 | 2006-03-31 |
| 1649230624 | Stacey Marie Ritz | Optometrist | 713 Troy Schenectady Road, Suite 135, Latham, NY 12110 | 2006-03-24 |
| 1194342113 | Mckenzie Elizabeth Symons | Optometrist | 1202 Troy Schenectady Rd, Latham, NY 12110-1096 | 2020-06-26 |
| 1912468570 | Christian E Iyore | Optometrist | 560 Troy Schenectady Rd, Latham, NY 12110-2803 | 2019-03-27 |
| 1396192878 | Rolandy Dumornay | Optometrist | 713 Troy Schenectady Rd Ste 218, Latham, NY 12110-2490 | 2016-05-16 |
| 1285966218 | Alice Bade | Optometrist | 711 Troy Schenectady Rd, Northeast Eye Center Suite 109, Latham, NY 12110-2442 | 2010-02-01 |
| Find all providers in LATHAM | ||||
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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.