LARRY J. BONDERUD, OD (NPI# 1952812331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952812331 |
| Entity Type | Organization |
| Organization Name | LARRY J. BONDERUD, OD |
| Other Organization Name | NORTHERN MONTANA EYECARE |
| Practice Address |
19 4th Ave Sw Conrad MT 59425-2339 |
| Mailing Address |
865 Oilfield Ave Shelby MT 59474-2702 |
| Practice Telephone | 4062715517 |
| Practice Fax Number | 4062715518 |
| Mailing Telephone | 4064345196 |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | DR. LARRY JAMES BONDERUD (OWNER) |
| Authorized Official Telephone | 4064345196 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| 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 | 00481389 | 05 |
| Other Name | Type Code |
|---|---|
| Northern Montana Eyecare | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 865 Oilfield Ave, Shelby, MT 594742702 | 4064345196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497246722 | Larry J. Bonderud, Od | Optometrist | 865 Oilfield Ave Ste 1, Shelby, MT 59474-2702 | 2018-05-22 |
| Street Address |
19 4TH AVE SW |
| City | CONRAD |
| State | MT |
| Zip Code | 59425-2339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295850535 | Larry Bonderud & Mark Stanchfield Optometrists | Optometrist | 19 4th Ave Sw, Conrad, MT 59425-2339 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770866113 | Sandin Craig Barney | Denturist | 302 S. Delaware St., Conrad, MT 59425 | 2011-09-22 |
| 1073675351 | Pondera County | Public Health or Welfare | 311 S. Virginia Street, Suite 1, Conrad, MT 59425 | 2006-12-14 |
| 1609956200 | Jesse T Parks | Pharmacist | 600 South Main, Ste 2, Conrad, MT 59425 | 2006-10-17 |
| 1902992159 | Julie Laine Murack | Chiropractor | 320 1st Ave Sw, Conrad, MT 59425 | 2006-10-05 |
| 1962511154 | Sunset Dental Care PC | Durable Medical Equipment & Medical Supplies | 417 2nd Ave Sw, Conrad, MT 59425 | 2006-08-30 |
| 1588087225 | Steven D. Baliko | Counselor | 600 S Main St, Conrad, MT 59425 | 2014-01-31 |
| 1932243524 | Rosalie Mccormick | Counselor | 315 S Main, Conrad, MT 59425 | 2007-02-16 |
| 1619063864 | Richard Joseph Murack | Chiropractor | 320 1st Ave Sw, Conrad, MT 59425 | 2006-10-05 |
| 1912996935 | Peter Damian Barran | Family Medicine | 809 Sunset Blvd, Suite 4, Conrad, MT 59425 | 2005-10-21 |
| 1396731808 | Norman Lee Walker | Physician Assistant | 805 Sunset Blvd, Conrad, MT 59425 | 2005-09-21 |
| Find all providers in zip 59425 | ||||
| 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 |
|---|---|---|---|---|
| 1295850535 | Larry Bonderud & Mark Stanchfield Optometrists | Optometrist | 19 4th Ave Sw, Conrad, MT 59425-2339 | 2007-03-19 |
| 1871661355 | John E Taylor | Optometrist | 403 S Delaware St, Conrad, MT 59425-2310 | 2006-12-01 |
| 1033489877 | Pondera Medical Center O | Optometrist | 403 S Delaware St, Conrad, MT 59425-2310 | 2012-01-11 |
| 1043523723 | Pondera Medical Center Eye Clinic Pllc | Optometrist | 403 S Delaware St, Conrad, MT 59425-2310 | 2010-07-22 |
| 1740301407 | John E Taylor O.d. | Optometrist | 403 S Delaware St, Conrad, MT 59425-2310 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760008312 | Breanna Barnes | Optometrist | 201 2nd St E Ste B, Whitefish, MT 59937-2415 | 2020-06-19 |
| 1306462098 | Angie Marie Biskupiak | Optometrist | 534 N Last Chance Gulch Ste 1, Helena, MT 59601-3304 | 2020-06-18 |
| 1295350577 | Gabrielle Gunlikson | Optometrist | 430 Lake Elmo Dr Ste 1, Billings, MT 59105-3027 | 2020-06-11 |
| 1801456686 | Matthew Dooper | Optometrist | 100 Brookshire Blvd Ste 2, Billings, MT 59102-6751 | 2019-06-14 |
| 1811551500 | Stephanie Nicole Shoults | Optometrist | 2499 Gabel Rd Ste 3, Billings, MT 59102-7349 | 2019-04-28 |
| 1497246722 | Larry J. Bonderud, Od | Optometrist | 865 Oilfield Ave Ste 1, Shelby, MT 59474-2702 | 2018-05-22 |
| 1184171423 | Kelsey Long Sykes | Optometrist | 1425 W Main St Unit B, Bozeman, MT 59715-3283 | 2016-09-03 |
| 1134672751 | Haley Owens | Optometrist | 410 Railroad St, Deer Lodge, MT 59722-1910 | 2016-07-31 |
| 1063865590 | Erica Perlman - Hensen | Optometrist | 99 Town Center Ave, Unit #a6, Big Sky, MT 59716-0700 | 2016-07-20 |
| 1477909646 | Tel Michael Todd | Optometrist | 24215 Norris Rd, Bozeman, MT 59718-8187 | 2016-05-06 |
| 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.