Kathleen A Bonner, TEACHER-VISION

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

213105 Issued in NY

Practice address

1553 E 53Rd St
Brooklyn, NY 11234-3927

Phone

(718) 951-8196

NPI assigned

Sep 16, 2010

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1891003406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1553 EAST 53 STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11234",
            "telephone_number": "718-951-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 E 53RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343927",
            "telephone_number": "718-951-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNER",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "TEACHER-VISION",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NY",
            "license": "213105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theressa Bonne-Annee
• Edwine Bonneau, RN
• Jamyica Bonner
• Jasaun Jerome Anthony Bonner Sr.
• Jennifer Marie Bonner, MS ED.
• Claude-Luvier Bonnet, FNP
• Bonnie Vader, DPM, PC
• Madonna Bonny, MS.ED, BCBA, LBA
• Sandra E Bonny, LPN
• Lea Viviana Bono, OTR/L

• Vision Therapy Optometrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Vision Therapy Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.