Alex Bonk, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010662 Issued in IL

Practice address

702 S Foothills Plaza Dr
Maryville, TN 37801-2300

Phone

(865) 982-6761

NPI assigned

Jun 24, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Illinois College of Optometry at Chicago, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blount County Eye Center PLLCGroup PAC ID 2163476565, 4 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.

• Blount County Eye Center, PLLC

  • Corneal and Contact Management Optometrist
  • Maryville, TN
  • NPI 1699961631
  Medicare reassignment Care Compare group NPD
• Lake Zurich Optical Care LLC

  • Optometrist
  • Lake Zurich, IL
  • NPI 1407555626
  NPD

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1962841981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 S FOOTHILLS PLAZA DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378012300",
            "telephone_number": "865-982-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 S FOOTHILLS PLAZA DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378012300",
            "telephone_number": "865-982-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONK",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3368",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Bolin, LCSW
• Anita Bolinger
• Heather Marie Bolinger, FNP-BC
• Tracy L Bolling, PHARMD
• Krista Bombara
• Taylor Booth, LMSW
• Hamilton Borden, PHARMD
• Jordan Blake Boring, L. AC.
• Steven Casey Boring, FNP
• Jamie Marie Bosnjak, APRN

• Optometrist in Maryville, TN
• Providers in Maryville, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.