Bonnie Jean Fiske, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1945 Issued in CO

Practice address

2464 Hwy 6 and 50
Suite 110
Grand Junction, CO 81505-1138

Phone

(970) 241-9299

Fax

(970) 241-1191

NPI assigned

Jun 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Vision Center, Inc.Group PAC ID 1456395359, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Valley Vision Center, Inc.

  • Optician
  • Grand Junction, CO
  • NPI 1336241827
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1760422661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2464 HWY 6 AND 50",
            "address_2": "SUITE 110",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051138",
            "telephone_number": "970-241-9299",
            "fax_number": "970-241-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2464 HWY 6 AND 50",
            "address_2": "SUITE 110",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051138",
            "telephone_number": "970-241-9299",
            "fax_number": "970-241-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISKE",
        "first_name": "BONNIE",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlee Fisher
• David P Fisher, MD
• Jamie Marie Fisher, APN
• Melissa Erin Fisher, LCSW
• Amanda Elizabeth Fisk, RNFA
• Fit for Home, LLC
• Kevin R Fitzgerald, M.D.
• Hayden Fitzpatrick
• Megan Fitzsimmons, PT, DPT
• Five Star Quality Care-Colorado LLC

• Optometrist in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.