| NPI | 1811034713 |
|---|---|
| Other Name | TAMARA LYNN BONNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NE NE 1041) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NE NE 1041) |
| 152WP0200X Optometrist, Pediatrics (Licence: NE NE 1041) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: NE NE 1041) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2013-12-10 |