Active NPI
Bonebrake Vision & Eye Center LLC
- Optometrist
- Saint Joseph, MO
National Provider Identifier
1629271622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T0248
- Legal business name
- BONEBRAKE VISION & EYE CENTER LLC
- Practice address
- 707 N 36TH St
Suite a
Saint Joseph, MO 64506-2968 - Phone
- (816) 279-5683
- NPI assigned
- Jun 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Skeffington Bonebrake, O.D.
- Title
- Owner
- Phone
- (816) 279-5683
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T0248 | MO | Primary |
Addresses
Primary practice location
707 N 36TH St
Suite a
Saint Joseph, MO 64506-2968
Mailing address
707 N 36TH St
Suite a
Saint Joseph, MO 64506-2968
Phone (816) 279-5683
National Provider Directory
National Provider DirectoryLocations
707 N 36th St
Ste A
Saint Joseph, MO 64506
Phone (816) 279-5683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479340800000",
"number": "1629271622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 N 36TH ST",
"address_2": "SUITE A",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062968",
"telephone_number": "816-279-5683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 N 36TH ST",
"address_2": "SUITE A",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062968",
"telephone_number": "816-279-5683"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BONEBRAKE VISION & EYE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-07",
"last_updated": "2016-11-17",
"status": "A",
"authorized_official_last_name": "BONEBRAKE",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "SKEFFINGTON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "816-279-5683",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MO",
"license": "T0248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.