BONNER EYE CLINIC
NPI 1770626616
Ophthalmology in Hibbing, MN

NPI Status: Active since February 14, 2007

Contact Information

3605 MAYFAIR AVE
STE 2150
HIBBING, MN
ZIP 55746
Phone: (218) 262-3156
Fax: (218) 262-1456

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  • Organization
  • Ophthalmology
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About BONNER EYE CLINIC

This page provides the complete NPI Profile along with additional information for Bonner Eye Clinic, a provider established in Hibbing, Minnesota operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1770626616 assigned on February 2007. The practitioner's primary taxonomy code is 207W00000X with license number 432 (MN). The provider is registered as an organization and their NPI record was last updated 17 years ago. Bonner Eye Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Bonner Eye Clinic. The authorized official of this NPI record is Dr. Timothy C Bonner Md (President)

NPI
1770626616
Provider Legal Name
JOHN L BONNER EYE CLINIC LTD
Other Organization Name
BONNER EYE CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3605 MAYFAIR AVE STE 2150 HIBBING, MN 55746
Location Phone
(218) 262-3156
Location Fax
(218) 262-1456
Mailing Address
1542 GOLF COURSE RD STE 201 GRAND RAPIDS, MN 55744
Mailing Phone
(218) 326-3433
Mailing Fax
(218) 262-1456
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-14-2007
Last Update Date
03-18-2009
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Ophthalmologists like Bonner Eye Clinic specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.

Bonner Eye Clinic is a medicare supplier with PTAN 20670851 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses or Prosthetic Lenses: Prosthetics Cataract Lenses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ophthalmology

Taxonomy Code
207W00000X
Type
Allopathic & Osteopathic Physicians
License No.
432
License State
MN
Taxonomy Description
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1152W00000XEye and Vision Services Providers

Optometrist

432 (MN)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TIMOTHY C BONNER MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(218) 326-3433

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0186560002MEDICARE NSC (07)MN 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20670851
Accepts Medicare Assignment
YES
Specialities List
Optometrist.
Provider Type List
PHYSICIAN – OPHTHALMOLOGY.
Competitive Bidding
NO

Supplies List

  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
  • Prosthetic Lenses: Prosthetics Cataract Lenses - Cataract Eyeglasses

Reviews for BONNER EYE CLINIC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1770626616
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271401221262
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 1 + 2 + 2 + 1 + 2 + 6 + 2 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1770626616 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659340396DR. MICHAEL PETER HECK M.D.
Individual
Family Medicine3605 MAYFAIR AVE
HIBBING, MN 55746
(218) 262-3441
1427015122DR. HSIENG-TEH SU M.D.
Individual
Internal Medicine3605 MAYFAIR AVE
HIBBING, MN 55746
(218) 262-3441
1144287210 ANNE MARIE FLAIM NP
Individual
Nurse Practitioner3605 MAYFAIR AVE
HIBBING, MN 55746
(218) 262-3441
1194782284DR. JOHN S SHENK M.D.
Individual
Surgery3605 MAYFAIR AVE
HIBBING, MN 55746
(218) 262-3441
1619929544 GWEN GENEEN WASHBURN MS, CCC-A
Individual
Audiologist3605 MAYFAIR AVE
HIBBING, MN 55746
(218) 262-3441
1588676209 KATHRYN J CLUSIAU PA
Individual
Physician Assistant3605 MAYFAIR AVE
HIBBING, MN 55746
(218) 362-6975
1265547921 JONI M MOBERG NP
Individual
Nurse Practitioner3605 MAYFAIR AVE
HIBBING, MN 55746
(218) 262-3441
1215076591DR. JAY DOUGLAS HILDENBRAND D.C.
Individual
Chiropractor3605 MAYFAIR AVE
HIBBING, MN 55746
(218) 262-3441
1447377726 JEFFREY B SHAPIRO R.PH
Individual
Pharmacist (Pharmacotherapy)3605 MAYFAIR AVE
HIBBING, MN 55746
(218) 262-2153
1093980500DR. MMILIAKU NWOYE
Individual
Obstetrics & Gynecology3605 MAYFAIR AVE MESABA CLINICS
HIBBING, MN 55746
(218) 262-3441
1043569148 JANEAN MARIE MCCUE CNP
Individual
Nurse Practitioner (Adult Health)3605 MAYFAIR AVE FAIRVIEW MESABA CLINIC
HIBBING, MN 55746
(218) 262-3441
1922066117 COLLEEN RAE WALLIS P.A.C.
Individual
Physician Assistant3605 MAYFAIR AVE
HIBBING, MN 55746
(218) 262-3441
1619967775 SANDRA LEA HANSON
Individual
Surgery3605 MAYFAIR AVE
HIBBING, MN 55746
(218) 262-3441
1285601542DR. WILLIAM CHARLES VINCENT MD
Individual
Surgery3605 MAYFAIR AVE
HIBBING, MN 55746
(218) 262-3441
1952379125 BRIAN R THOMPSON M.D.
Individual
Family Medicine3605 MAYFAIR AVE
HIBBING, MN 55746
(218) 262-3441
1821052838DR. ELIZABETH JONES M.D.
Individual
Obstetrics & Gynecology3605 MAYFAIR AVE
HIBBING, MN 55746
(218) 262-3441
1326002346DR. SUSAN M RUDBERG M.D.
Individual
Family Medicine3605 MAYFAIR AVE
HIBBING, MN 55746
(218) 262-3441
1538123419DR. KEVIN GILBERT KRAUSE M.D.
Individual
Pediatrics3605 MAYFAIR AVE
HIBBING, MN 55746
(218) 262-3441
1912964628DR. JEFFREY ALLAN COPEMAN M.D.
Individual
Family Medicine3605 MAYFAIR AVE
HIBBING, MN 55746
(218) 262-3441
1124085279DR. RICHARD JON RUDBERG M.D.
Individual
Family Medicine3605 MAYFAIR AVE
HIBBING, MN 55746
(218) 262-3441

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770626616, enumerated in the NPI registry as an "organization" on February 14, 2007

The provider is located at 3605 Mayfair Ave Ste 2150 Hibbing, Mn 55746 and the phone number is (218) 262-3156

This medical organization specializes in Ophthalmology with taxonomy code 207W00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 14, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.