Bonavista Optics Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

D70648 Issued in CA

Legal business name

BONAVISTA OPTICS INC

Practice address

3900 W Alameda Ave
Suite 1200
Burbank, CA 91505-4316

Phone

(424) 404-5415

NPI assigned

Dec 10, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Bonnie J Ashley, LABOC, NCLEC

Title

President, Optician

Phone

(424) 202-5415

Specialties & licenses 6

Addresses

Locations

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1275908642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 W ALAMEDA AVE",
            "address_2": "SUITE 1200",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054316",
            "telephone_number": "424-404-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 W ALAMEDA AVE",
            "address_2": "SUITE 1200",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054316",
            "telephone_number": "424-404-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONAVISTA OPTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "ASHLEY",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT, OPTICIAN",
        "authorized_official_telephone_number": "424-202-5415",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LABOC, NCLEC"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "SL40477",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "CL8116",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "D70648",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "CL8116",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "D70648",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "SL40477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Boisvert
• Sarah Bokanoski
• Jose Luis Bolanos
• Lilia Bolbolian
• Maya Bonales
• Boniface O Onubah, M.D. Inc.
• Alexandra Juliet Bonilla, DC
• Stephanie Mary Boon, RDN
• Johnna Booth
• Joan Boris, MFT

• Prosthetic/Orthotic Supplier in Burbank, CA
• Providers in Burbank, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.