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BONNER GENERAL OPHTHALMOLOGY
NPI 1104461649
Ophthalmology in Sandpoint, ID

Active since November 07, 2019CLIA 13D2346758 · Waiver
423 N 3RD AVE STE 110, SANDPOINT, ID 83864(208) 265-1011(208) 265-6271 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 13, 2024, Aug 8, 2024, Jul 13, 2023 and 2 more (5 updates tracked since 2019).

About Bonner General Ophthalmology NPPES

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

BONNER GENERAL OPHTHALMOLOGY (NPI 1104461649) is a healthcare organization registered as an ophthalmology in Sandpoint, Idaho and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through July 6, 2028 and lists John Hennessy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104461649
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameBONNER GENERAL HOSPITAL, INC
Location Address423 N 3RD AVE STE 110Sandpoint, ID 83864-1511
Mailing AddressPo Box 1343Sandpoint, ID 83864-0863 · (208) 265-1158 · Fax (208) 265-1278
Phone(208) 265-1011
Fax(208) 265-6271
Organization SubpartNo
Authorized OfficialJohn HennessyCeo · (208) 265-1100
Enumeration DateNovember 7, 2019
Last NPPES UpdateSeptember 13, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2024
✔ NPI 1104461649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
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.
423 N 3RD AVE STE 110, Sandpoint, ID 83864
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Other Names 1

Doing Business AsBonner General Ophthalmology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 13D2346758

Bonner General Urology · Sandpoint, ID
Active · expires Jul 6, 2028
CLIA Number13D2346758
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2026
Certificate Expiration DateJuly 6, 2028
Laboratory DirectorStacey F. Good
Laboratory Phone(208) 265-1011
Laboratory LocationBonner General Urology423 N Third Ave Ste 110, Sandpoint, ID 83864
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. MARK FRANCIS TORRES M.D.
Ophthalmology
423 N 3RD AVE STE 110
SANDPOINT, ID 83864
Bonner County (208) 265-1011
DR. RONALD TIMOTHY BARRETT M.D.
Urology
423 N 3RD AVE STE 110
SANDPOINT, ID 83864
Bonner County (208) 265-3342
MONARCH MEDICAL LLC
Podiatrist
423 N 3RD AVE STE 110
SANDPOINT, ID 83864
Bonner County (208) 265-1154
BONNER GENERAL HOSPITAL, INC
Urology
423 N 3RD AVE STE 110
SANDPOINT, ID 83864
Bonner County (208) 265-3342

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 Bonner General Hospital, Inc's NPI number?

The NPI number for Bonner General Hospital, Inc is 1104461649. It was assigned to this organization in the NPPES registry on November 7, 2019. The provider is doing business as Bonner General Ophthalmology.

Where is Bonner General Hospital, Inc located?

Bonner General Hospital, Inc is located at 423 N 3rd Ave Ste 110, Sandpoint, ID 83864. The listed phone number is (208) 265-1011.

What is Bonner General Hospital, Inc's specialty?

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

Does Bonner General Hospital, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2346758) is associated with this NPI, valid through July 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bonner General Hospital, Inc was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.