Bonnie L Fields, OD
Individual provider Active NPI Optometrist · Sebring, OH
NPI 1629116835 · NPPES record last updated Jun 10, 2008
Key facts
- NPI
- 1629116835
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 3231 (OH)
- Practice address
- 331 South 15TH St
Sebring, OH 44672 - Phone
- (330) 938-2647
- Fax
- (330) 938-0092
- NPI assigned
- Feb 1, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bruce D. Jeffries, O.D. LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3231 | OH | Yes |
Addresses
Primary practice location
331 South 15TH St
Sebring, OH 44672
Mailing address
PO Box 278
331 South 15TH St
Sebring, OH 44672
Phone (330) 938-2647
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0305584 | Medicaid | OH |
Other names
- Dr. Bonnie L Fields
Other providers in Sebring, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.