MEDICARE: R HUNTER BOND O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	1216-377AT	LA
2	152W00000X	Optometrist	1216-377T	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396742698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	R HUNTER BOND O.D.

Provider Business Mailing Address
First Line	:	60007 W WAY DR
Second Line	:
City	:	AMITE
State	:	LA
Zip	:	70422-4186
Country	:	US
Telephone Number	:	985-748-8096
Fax Number	:	985-748-4376

Provider Business Practice Location Address
First Line	:	60007 WEST WAY DRIVE
Second Line	:
City	:	AMITE
State	:	LA
Zip	:	70422
Country	:	US
Telephone Number	:	985-748-8096
Fax Number	:	985-748-4376

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	11/15/2024

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