Doctor Name: | DAROL JOSEPH BONANDER |
NPI Number: | 1699826529 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | 06621T |
Business Practice Address: | 1401 Washington St Kingsburg, CA - 936311946 |
Business Phone Number: | 5598971071 |
Business Fax Number: | 5598974317 |
Mailing Address: | 1401 Washington St, KINGSBURG |
State: | CA |
Postal Code: | 936311946 |
Phone Number: | 5598971071 |
Fax Number: | 5598974317 |
NPI Enumeration Date: | 01/16/2007 |
NPI Last Update Date: | 01/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 06621T |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |