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NPI Code Detail

MEDICARE: KAYLA MARIE BOND O.D.

MEDICARE: KAYLA MARIE 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
1152W00000XOptometristOEG002973PA

Other Identifiers

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

General Provider Information

NPI Number : 1790191104
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA MARIE BOND O.D.
Provider Business Mailing Address
First Line : 720 MAIN ST
Second Line :
City : PHOENIXVILLE
State : PA
Zip : 19460-3844
Country : US
Telephone Number : 610-933-3498
Fax Number : 610-933-5052
Provider Business Practice Location Address
First Line : 720 MAIN ST
Second Line :
City : PHOENIXVILLE
State : PA
Zip : 19460-3844
Country : US
Telephone Number : 610-933-3498
Fax Number : 610-933-5052
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2014
Last Update Date : 08/04/2020

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