JOHN L BONNER EYE CLINIC LTD
NPI 1053351817
Ophthalmology in Grand Rapids, MN
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
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John L Bonner Eye Clinic Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to John L Bonner Eye Clinic Ltd, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MNFrequently 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.
Is John L Bonner Eye Clinic Ltd enrolled in Medicare?
Yes. John L Bonner Eye Clinic Ltd is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through John L Bonner Eye Clinic Ltd?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to John L Bonner Eye Clinic Ltd, in Ophthalmology and Optometry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Aspirus Health Plan 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 19 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.
# John L Bonner Eye Clinic Ltd · NPI 1053351817
Ophthalmology organization in Grand Rapids, Minnesota. Organization record, active in the CMS NPPES registry since June 8, 2006.
## Identity
- **NPI:** 1053351817 (Entity type: Organization)
- **Enumerated:** June 8, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Timothy Bonner, PRESIDENT
## Practice location
- **Address:** 1542 GOLF COURSE RD, SUITE 201, Grand Rapids, MN 55744-9603
- **Phone:** (218) 326-3433 · **Fax:** (218) 326-3435
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (2), Optometry (2); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 17, 2007
- **Other identifiers:** Other 0186560001 (MN)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1053351817) · Data from the CMS NPPES public registry.