| Nilah Nicole Bonham Od Pc | |
|
325 W National Ave, Brazil, IN 47834 | |
| (812) 443-0060 | |
| (812) 446-5061 |
| Full Name | Nilah Nicole Bonham Od Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 325 W National Ave, Brazil, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477748986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 18003365B (Indiana) | Primary |
| 332H00000X | Eyewear Supplier | 18003365A (Indiana) | Secondary |
| Provider Name | Nilah Nicole Bonham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275635534 PECOS PAC ID: 7113952722 Enrollment ID: I20051003000615 |
| Mailing Address | Practice Location Address |
|---|---|
| Nilah Nicole Bonham Od Pc 325 W National Ave, Brazil, IN 47834 Ph: (812) 443-0060 | Nilah Nicole Bonham Od Pc 325 W National Ave, Brazil, IN 47834 Ph: (812) 443-0060 |
Dr. Gary W Nesty, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1515 E National Ave, Brazil, IN 47834 Phone: 812-448-1898 Fax: 812-448-3838 | |
Darla Heck Sacopulos, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 325 W National Ave, Brazil, IN 47834 Phone: 812-443-0060 Fax: 812-446-5061 | |
Gary Nesty Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1515 E National Ave, Brazil, IN 47834 Phone: 812-448-1898 Fax: 812-448-3838 | |
Nilah Nicole Bonham, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 325 W National Avenue, Brazil, IN 47834 Phone: 812-443-0060 Fax: 812-446-5061 | |
Alicia Reed-thomas, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 603 W National Ave, Brazil, IN 47834 Phone: 812-443-3937 Fax: 812-443-3937 | |
Eyecare Specialists Optometrist Medicare: Not Enrolled in Medicare Practice Location: 325 W National Ave, Brazil, IN 47834 Phone: 812-443-0060 Fax: 812-446-5061 |