BONNIE NICKEL, M.D,
NPI 1649349283
Ophthalmology in San Rafael, CA

Active since November 07, 2006
750 LAS GALLINAS AVE, SUITE #114, SAN RAFAEL, CA 94903(415) 492-0950(415) 492-9029 Get Directions Write a Review

NPPES record last updated: October 15, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bonnie Nickel, M.d, NPPES

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

BONNIE NICKEL, M.D, (NPI 1649349283) is a healthcare organization registered as an ophthalmology in San Rafael, California and active in the NPI registry since November 2006. The organization lists Bonnie Lynn Nickel, Owner, as its authorized official.

NPPES Registry Identity

NPI1649349283
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameBONNIE NICKEL, M.D,
Location Address750 LAS GALLINAS AVE, SUITE #114San Rafael, CA 94903-3438
Mailing Address750 Las Gallinas Ave, Suite #114San Rafael, CA 94903-3438 · (415) 492-0950 · Fax (415) 492-9029
Fax(415) 492-9029
Organization SubpartNo
Authorized OfficialBonnie Lynn NickelOwner · (415) 492-0950
Enumeration DateNovember 7, 2006
Last NPPES UpdateOctober 15, 2007
NPI 1649349283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · 00G362480
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.
750 LAS GALLINAS AVE, San Rafael, CA 94903

Other Identifiers 2

Medicare ID-Type Unspecified00G362480CA
Medicare UPINA46622CA

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

Other Providers at the Same Location NPPES 20

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

Dentist
750 LAS GALLINAS AVE
SAN RAFAEL, CA 94903
Dentist (General Practice)
750 LAS GALLINAS AVE, STE 111
SAN RAFAEL, CA 94903
Pharmacy (Community/Retail Pharmacy)
750 LAS GALLINAS AVE, STE 104
SAN RAFAEL, CA 94903
Pediatrics
750 LAS GALLINAS AVE, #210
SAN RAFAEL, CA 94903
Dentist (General Practice)
750 LAS GALLINAS AVE, SUITE 210
SAN RAFAEL, CA 94903
Oral & Maxillofacial Surgery
750 LAS GALLINAS AVE, SUITE #207
SAN RAFAEL, CA 94903
Massage Therapist
750 LAS GALLINAS AVE, SUITE 202
SAN RAFAEL, CA 94903
Pediatrics
750 LAS GALLINAS AVE, STE 210
SAN RAFAEL, CA 94903

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 Bonnie Nickel, M.D,'s NPI number?

The NPI number for Bonnie Nickel, M.D, is 1649349283. It was assigned to this organization in the NPPES registry on November 7, 2006.

Where is Bonnie Nickel, M.D, located?

Bonnie Nickel, M.D, is located at 750 Las Gallinas Ave Suite #114, San Rafael, CA 94903. The listed phone number is (415) 492-0950.

What is Bonnie Nickel, M.D,'s specialty?

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

When was this NPI record last updated?

The NPPES record for Bonnie Nickel, M.D, was last updated on October 15, 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.