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JOHN L BONNER EYE CLINIC LTD
NPI 1053351817
Ophthalmology in Grand Rapids, MN

Active since June 08, 2006CLIA 24D2076444 · Waiver
1542 GOLF COURSE RD, SUITE 201, GRAND RAPIDS, MN 55744(218) 326-3433(218) 326-3435 Get Directions Write a Review

NPPES record last updated: October 17, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John L Bonner Eye Clinic Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN L BONNER EYE CLINIC LTD (NPI 1053351817) is a healthcare organization registered as an ophthalmology in Grand Rapids, Minnesota and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through April 17, 2028 and lists Timothy Charles Bonner, President, as its authorized official.

NPPES Registry Identity

NPI1053351817
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameJOHN L BONNER EYE CLINIC LTD
Location Address1542 GOLF COURSE RD, SUITE 201Grand Rapids, MN 55744-9603
Mailing Address1542 Golf Course Rd, Suite 201Grand Rapids, MN 55744-9603 · (218) 326-3433 · Fax (218) 326-3435
Phone(218) 326-3433
Fax(218) 326-3435
Organization SubpartNo
Authorized OfficialTimothy Charles BonnerPresident · (218) 326-3343
Enumeration DateJune 8, 2006
Last NPPES UpdateOctober 17, 2007
✔ NPI 1053351817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MN · 432
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOptometristTaxonomy 152W00000X · License 432 (MN)
1542 GOLF COURSE RD, Grand Rapids, MN 55744
Open in Google Maps ↗

Other Identifiers 1

Other0186560001MN · Dmerc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2076444

John L Bonner Eye Clinic Ltd · Grand Rapids, MN
Active · expires Apr 17, 2028
CLIA Number24D2076444
Laboratory TypePhysician Office
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorMichaela Cleveland
Laboratory Phone(218) 326-3433
Laboratory LocationJohn L Bonner Eye Clinic Ltd1542 Golf Course Road Suite 201, Grand Rapids, MN 55744
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL J MARGO M.D.
Surgery
1542 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Itasca County (218) 327-7973
DEER RIVER HEALTHCARE CENTER, INC.
Clinic/Center (Critical Access Hospital)
1542 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Itasca County (218) 999-7099
SARAH JEAN LEVAR
Occupational Therapist
1542 GOLF COURSE RD, SUITE 104
GRAND RAPIDS, MN 55744
Itasca County (218) 326-3300
RADTKE PHYSICAL THERAPY LIMITED PARTNERSHIP
Durable Medical Equipment & Medical Supplies
1542 GOLF COURSE RD, SUITE 104
GRAND RAPIDS, MN 55744
Itasca County (218) 326-3300
RADTKE PHYSICAL THERAPY LIMITED PARTNERSHIP
Clinic/Center (Physical Therapy)
1542 GOLF COURSE RD, SUITE 104
GRAND RAPIDS, MN 55744
Itasca County (218) 326-3300
ITASCA SURGICAL CLINIC, PA
Specialist
1542 GOLF COURSE RD, SUITE 202
GRAND RAPIDS, MN 55744
Itasca County (218) 327-7973
HORSESHOE SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
1542 GOLF COURSE RD, SUITE 105
GRAND RAPIDS, MN 55744
Itasca County (218) 326-0667
DR. TIMOTHY CHARLES BONNER M.D.
Ophthalmology
1542 GOLF COURSE RD, SUITE 201
GRAND RAPIDS, MN 55744
Itasca County (218) 326-3433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John L Bonner Eye Clinic Ltd's NPI number?

The NPI number for John L Bonner Eye Clinic Ltd is 1053351817. It was assigned to this organization in the NPPES registry on June 8, 2006.

Where is John L Bonner Eye Clinic Ltd located?

John L Bonner Eye Clinic Ltd is located at 1542 Golf Course Rd Suite 201, Grand Rapids, MN 55744. The listed phone number is (218) 326-3433.

What is John L Bonner Eye Clinic Ltd's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does John L Bonner Eye Clinic Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2076444) is associated with this NPI, valid through April 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does John L Bonner Eye Clinic Ltd accept?

Health plans from Medica list John L Bonner Eye Clinic Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John L Bonner Eye Clinic Ltd was last updated on October 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.