Kenneth A. Bono, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1144-3 Issued in KS

Practice address

12116 State Line Rd
Leawood, KS 66209

Phone

(913) 808-5830

Fax

(913) 808-5832

NPI assigned

Jun 2, 2005

Last updated

Jan 2, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Eye Associates of Olathe PA

  • Optometrist
  • Olathe, KS
  • NPI 1245392059
  NPD (past)
• Eye Associates of Shawnee PA

  • Optometrist
  • Shawnee, KS
  • NPI 1316009111
  NPD (past)

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420156800000",
    "number": "1568466837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12116 STATE LINE RD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "66209",
            "telephone_number": "913-808-5830",
            "fax_number": "913-808-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12116 STATE LINE RD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "66209",
            "telephone_number": "913-808-5830",
            "fax_number": "913-808-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONO",
        "first_name": "KENNETH",
        "middle_name": "A.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2015-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1144-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200253510A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Boever, RN
• Grace Bolamperti
• Judith Ann Bolton, CRNA
• Sean Bonanni, MD
• Susan K Bonar, M.D.
• Mallory Boone, RBT
• Bailey Borgmier, OTR/L
• Daniel P Bortnick, MD
• Lindsay Christine Boten, OTD, OTR/L, CLT
• Laura Bowdoin, D.M.D

• Optometrist in Leawood, KS
• Providers in Leawood, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.