Individual provider Active NPI

Russell Owen Bond II, OD

  • Optometrist
  • Tomball, TX
National Provider Identifier
1942206271
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2681TG Issued in TX
Practice address
14030 FM 2920
Suite E
Tomball, TX 77377
Phone
(281) 351-0744
Fax
(281) 351-6929
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2681TG TX Primary

Addresses

Primary practice location

14030 FM 2920
Suite E
Tomball, TX 77377

Mailing address

14030 FM 2920
Suite E
Tomball, TX 77377
Phone (281) 351-0744

Other identifiers 1

IdentifierTypeStateIssuer
124531805MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address russell.bond@direct.berkeleyeye.com Berkeley Eye Institute, PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2681TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Lake Eye Center LLP Optometrist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1942206271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14030 FM 2920",
            "address_2": "SUITE E",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "77377",
            "telephone_number": "281-351-0744",
            "fax_number": "281-351-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14030 FM 2920",
            "address_2": "SUITE E",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "77377",
            "telephone_number": "281-351-0744",
            "fax_number": "281-351-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "RUSSELL",
        "middle_name": "OWEN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2681TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124531805",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "russell.bond@direct.berkeleyeye.com",
            "affiliation": "Y",
            "affiliationName": "Berkeley Eye Institute, PLLC",
            "address_1": "14030 FM 2920",
            "address_2": "Suite E",
            "city": "Tomball",
            "state": "TX",
            "country_code": "US",
            "postal_code": "77377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.