Julie Ann M Bonanni, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT005292-1 Issued in NY

Practice address

1365 New Scotland Rd
Slingerlands, NY 12159-7213

Phone

(518) 439-7600

NPI assigned

Apr 17, 2006

Last updated

Mar 4, 2021By the provider in NPPES

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 NY

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empire Vision Center Inc

  dba Davis Vision

  • Optometrist
  • Syracuse, NY
  • NPI 1750358826
  Medicare reassignment NPD
• Empire Vision Center, Inc

  dba Visionworks

  • Eyewear Supplier
  • Attleboro, MA
  • NPI 1730635582
  NPD
• Empire Vision Center Inc

  dba Empire Vision Centers

  • Optician
  • Slingerlands, NY
  • NPI 1093779068

  Optometrist

  NPD (past)
• Kansas Eye Surgery Associates, P.C.

  • Specialist
  • Latham, NY
  • NPI 1770511776
  NPD (past)

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1861456618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 NEW SCOTLAND RD",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121597213",
            "telephone_number": "518-439-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 NEW SCOTLAND RD",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121597213",
            "telephone_number": "518-439-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Century Hill Drive",
            "address_2": "Suite 601",
            "address_purpose": "LOCATION",
            "city": "Latham",
            "state": "NY",
            "postal_code": "12110",
            "country_code": "US",
            "telephone_number": "518-690-2015",
            "fax_number": "518-690-0353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONANNI",
        "first_name": "JULIE ANN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT005292-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa R Bevilacqua, D.O.
• Sarina Marie Bevilacqua, DO
• Pawan Bhatnagar, M.D.
• Ravneet Kaur Bhullar, M.D.
• Sarah Alicia Bohl, DNP, FNP-BC
• Chad P Bouchard, D.O.
• Marybeth Brady, LCSW
• Steven L. Bratman, M.D.
• William Breen, PHD
• Cynthia Catherine Cahill, OD

• Optometrist in Slingerlands, NY
• Providers in Slingerlands, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.