NPIMap

Organization Active NPI

Dr. Bonnie L. Fields

  • Optometrist
  • Sebring, OH
National Provider Identifier
1194986448
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR. BONNIE L. FIELDS
Practice address
331 S 15TH St
Sebring, OH 44672-2005
Phone
(330) 938-2647
NPI assigned
Jun 19, 2008
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bonnie L. Fields, ODNPI 1629116835
Title
Owner
Phone
(330) 938-2647

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

331 S 15TH St
Sebring, OH 44672-2005

Mailing address

PO Box 278
Sebring, OH 44672-0278
Phone (330) 938-2647

Other identifiers 1

IdentifierTypeStateIssuer
0305584MedicaidOH

National Provider Directory

National Provider Directory

Locations

331 S 15th St
Sebring, OH 44672
Phone (330) 938-2647

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1194986448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "SEBRING",
            "state": "OH",
            "postal_code": "446720278",
            "telephone_number": "330-938-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 S 15TH ST",
            "city": "SEBRING",
            "state": "OH",
            "postal_code": "446722005",
            "telephone_number": "330-938-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BONNIE L. FIELDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-938-2647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0305584",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.