Active NPI
Tamara Lynn Bonnes-Heil, O.D.
- Optometrist
- Grand Island, NE
National Provider Identifier
1811034713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- NE 1041
- Practice address
- 724 N Diers Ave
Grand Island, NE 68803-4954 - Phone
- (308) 384-9505
- Fax
- (308) 384-4939
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NE 1041 | NE | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | NE 1041 | NE | |
| Pediatric Optometrist | 152WP0200X | NE 1041 | NE | |
| Vision Therapy Optometrist | 152WV0400X | NE 1041 | NE |
Addresses
Primary practice location
724 N Diers Ave
Grand Island, NE 68803-4954
Mailing address
724 N Diers Ave
Grand Island, NE 68803-4954
Phone (308) 384-9505
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025072000 | Medicaid | NE | |
| 36335 | Other | NE | BLUE CROSS BLUE SHIELD NE |
Other names 1
- Dr. Tamara Lynn Bonnes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ferris State College - College of Optometry, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
724 N Diers Ave
Grand Island, NE 68803-4954
Phone (308) 384-9505
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 35 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1041 | NE | MD | Mental Health Counselor |
| NE 1041 | NE | MD | Optometrist |
Organizations & group practices 1
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.
-
- Optometrist
- Grand Island, NE
- NPI 1538365481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386633600000",
"number": "1811034713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 N DIERS AVE",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688034954",
"telephone_number": "308-384-9505",
"fax_number": "308-384-4939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 N DIERS AVE",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688034954",
"telephone_number": "308-384-9505",
"fax_number": "308-384-4939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNES-HEIL",
"first_name": "TAMARA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2013-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NE",
"license": "NE 1041",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "NE",
"license": "NE 1041",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "NE",
"license": "NE 1041",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "NE",
"license": "NE 1041",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025072000",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD NE",
"identifier": "36335",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TAMARA",
"last_name": "BONNES",
"middle_name": "LYNN",
"prefix": "DR.",
"credential": "O.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.