Joseph Bundy, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1829 Issued in MN

Practice address

1001 Highway 15 S
Fairmont, MN 56031-4456

Phone

(507) 238-9490

Fax

(507) 238-9038

NPI assigned

Dec 20, 2006

Last updated

May 10, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Vision World Inc

  dba Vision World

  • Eyewear Supplier
  • Stillwater, MN
  • NPI 1740365642
  NPD (past)
• Vision World Inc

  dba Vision World

  • Eyewear Supplier
  • Fergus Falls, MN
  • NPI 1982789533
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1598829111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GOLDFINCH CT",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "560032311",
            "telephone_number": "507-420-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HIGHWAY 15 S",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560314456",
            "telephone_number": "507-238-9490",
            "fax_number": "507-238-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDY",
        "first_name": "JOSEPH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "1829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "437023600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annette Bremer, LICSW
• Andrew K Brevik, D.O.
• Damaris F Brown
• Bryan Gregor, Inc. (Bryan's Pharmacy)
• Jonathan P. Buchholz, MD
• Brandon Leroy Burk, PHARMD
• Erik Burnison, M.D.
• Burtis Chiropractic Center PA (Burtis Chiropractic Center)
• Scott P Burtis, D.C.
• James P Busche, O.D

• Optometrist in Fairmont, MN
• Providers in Fairmont, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.