JOHN S BONEBRAKE O.D.
NPI 1194724328
Optometrist in Saint Joseph, MO

Active since July 19, 2005
707 N 36TH ST, SUITE A, SAINT JOSEPH, MO 64506(816) 279-5683(816) 279-5685 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John S Bonebrake O.d. NPPES

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

JOHN S BONEBRAKE O.D. (NPI 1194724328) is an individual optometrist in Saint Joseph, Missouri, licensed in Missouri (T02478) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1194724328
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJOHN S BONEBRAKECredential: O.D.
Location Address707 N 36TH ST, SUITE ASaint Joseph, MO 64506-2968
Mailing Address707 N 36th St, Suite ASaint Joseph, MO 64506-2968 · (816) 279-5683 · Fax (816) 279-5685
Fax(816) 279-5685
Sole ProprietorYes
Enumeration DateJuly 19, 2005
Last NPPES UpdateMarch 7, 2023
NPI 1194724328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in MO · T02478
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
707 N 36TH ST, Saint Joseph, MO 64506

Other Identifiers 4

Medicaid311944706MO
Other410048243Rr Medicare
Other108900Bc Bs
Other200111698MO · Cds

Other Providers at the Same Location NPPES 2

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

Chiropractor
707 N 36TH ST
SAINT JOSEPH, MO 64506
Optometrist
707 N 36TH ST, SUITE A
SAINT JOSEPH, MO 64506

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 Bonebrake's NPI number?

The NPI number for John Bonebrake is 1194724328. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is John Bonebrake located?

John Bonebrake practices at 707 N 36th St Suite A, Saint Joseph, MO 64506. The listed phone number is (816) 279-5683.

What is John Bonebrake's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for John Bonebrake was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.