Individual provider Active NPI

Jonathan Craig Bondroff

  • Optometrist
  • Catonsville, MD
National Provider Identifier
1306077797
Registry record updated Jul 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2161 Issued in MD
Practice address
611 Frederick Rd
Suite 101
Catonsville, MD 21228-4780
Phone
(410) 747-1221
Fax
(410) 747-1221
NPI assigned
Aug 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2161 MD Primary

Addresses

Primary practice location

611 Frederick Rd
Suite 101
Catonsville, MD 21228-4780

Mailing address

611 Frederick Rd
Suite 101
Catonsville, MD 21228-4780
Phone (410) 747-1221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091230000408 MD Practitioner - Optometry 7517008329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catonsville Eye Group IncGroup PAC ID 2668512443, 3 clinicians

Practice addresses (Care Compare)

2 W Rolling Crossroads
Suite 3
Catonsville, MD 21228-6282
Phone (410) 747-1221

2 W Rolling XRDS
Suite 3
Catonsville, MD 21228-6211

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA2161MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Catonsville Eye Group, Inc. Optometrist CurrentSince Oct 3, 2009 Accepting new patients

Locations

611 Frederick Rd
Ste 101
Catonsville, MD 21228
Phone (410) 744-4579

2 W Rolling Xrds
Ste 3
Catonsville, MD 21228
Phone (410) 747-1221

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341532800000",
    "number": "1306077797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 FREDERICK RD",
            "address_2": "SUITE 101",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284780",
            "telephone_number": "410-747-1221",
            "fax_number": "410-747-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 FREDERICK RD",
            "address_2": "SUITE 101",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284780",
            "telephone_number": "410-747-1221",
            "fax_number": "410-747-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONDROFF",
        "first_name": "JONATHAN",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-03",
        "last_updated": "2012-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.