Healthcare Provider Details

I. General information

NPI: 1104025485
Provider Name (Legal Business Name): BOND EYE ASSOCIATES, S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2007
Last Update Date: 01/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 S MAIN ST STE 2G
CANTON IL
61520-2608
US

IV. Provider business mailing address

175 S MAIN ST
CANTON IL
61520-2670
US

V. Phone/Fax

Practice location:
  • Phone: 309-647-3937
  • Fax: 309-647-4311
Mailing address:
  • Phone: 309-647-3937
  • Fax: 309-647-4311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM I. BOND
Title or Position: DIRECTOR
Credential: M.D.
Phone: 309-353-6660