| Dr Robert Bonner, OD | |
|
14595 Olympic Dr, Clearlake, CA 95422-9100 | |
| (707) 994-1488 | |
| (707) 994-8108 |
| Full Name | Dr Robert Bonner |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 14595 Olympic Dr, Clearlake, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992706220 | NPI | - | NPPES |
| SD0050790 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 5079T (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Bonner, OD 14595 Olympic Dr, Clearlake, CA 95422-9100 Ph: (707) 994-1488 | Dr Robert Bonner, OD 14595 Olympic Dr, Clearlake, CA 95422-9100 Ph: (707) 994-1488 |
Jack M. Elizares Optometric Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3610 Old Hwy 53, Clearlake, CA 95422 Phone: 707-994-8641 Fax: 707-994-5858 | |
Dr. Jack M Elizares, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3610 Old Highway 53, Clearlake, CA 95422 Phone: 707-994-8641 Fax: 707-994-5858 |