Bonavision Eye Center, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OK2090 Issued in OK

Legal business name

BONAVISION EYE CENTER, PC

Practice address

2815 N Classen Blvd
Oklahoma City, OK 73106-5419

Phone

(405) 528-8200

Fax

(405) 528-8201

NPI assigned

Apr 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Irene H Lam, ODNPI 1063597201

Title

Optometrist

Phone

(405) 206-4445

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Irene H Lam, OD

  • Optometrist
  • Oklahoma City, OK
  • NPI 1063597201
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1992920144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 N CLASSEN BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731065419",
            "telephone_number": "405-528-8200",
            "fax_number": "405-528-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 N CLASSEN BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731065419",
            "telephone_number": "405-528-8200",
            "fax_number": "405-528-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONAVISION EYE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-14",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "405-206-4445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "OK2090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100748350A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney M Bolt
• Tonya Bolton-Johnson, LPC
• Kasandra Bolton
• Martha Leigh Bolton, L.C.S.W
• Elizabeth Anne Bomhoff, B.S.
• Casandra Bond, C.T,R,S,/L
• Gary Dean Bond, MD
• Kendra Bond, APRN
• Kerry Bond, LMSW
• Matthew R Bond

• Optometrist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.