Virginia Bonilla, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003773A Issued in IN

Practice address

70 E 68TH PL
Merrillville, IN 46410-3506

Phone

(219) 736-2020

NPI assigned

Apr 5, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

International American University at Puerto Rico - School of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robert W Moses OD Professional Corp.Group PAC ID 9436138617, 12 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.

• Robert W Moses O.D. Professional Corporation

  • Optometrist
  • Merrillville, IN
  • NPI 1033161195
  Medicare reassignment Care Compare group NPD
• Robert W Moses OD Professional Corp.

  • Eyewear Supplier
  • Gary, IN
  • NPI 1093830085
  NPD (past)
• Robert W Moses OD Professional Corp.

  • Eyewear Supplier
  • Lowell, IN
  • NPI 1790800217
  NPD (past)

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1891038063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E 68TH PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103506",
            "telephone_number": "219-736-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E 68TH PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103506",
            "telephone_number": "219-736-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "VIRGINIA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-05",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003773A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201148230",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Suzanne Bolda I, PT
• Shona Bolden, LMHCA
• Bone & Joint Specialists, PC
• Bone & Joint Specialists, PC
• James F Bonick, D.D.S.
• Alfred Lambert Bonjean, MD
• Boyann Bea Bonjean, NP
• Taylor Borowy
• Miscah Borum, MA
• Charmaine Boston

• Optometrist in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.