MEDICARE: DR. MICHAEL G BONNER OD

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	OEG000810	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00943504	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	50099291	OTHER	CAPITAL BLUE CROSS
2	2027189	OTHER	BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407881501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL G BONNER OD

Provider Business Mailing Address
First Line	:	137 JPM RD
Second Line	:
City	:	LEWISBURG
State	:	PA
Zip	:	17837-9313
Country	:	US
Telephone Number	:	570-523-3937
Fax Number	:

Provider Business Practice Location Address
First Line	:	435 RIVER AVE
Second Line	:
City	:	WILLIAMSPORT
State	:	PA
Zip	:	17701-3722
Country	:	US
Telephone Number	:	570-326-8070
Fax Number	:	570-326-0396

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

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	01/07/2021

Similar Medicare Providers

1750601845 — LEAH M WARNER OD
Practice Location Address:

435 RIVER AVE
WILLIAMSPORT, PA
17701-3722

Practice Phone: 570-326-8070
Practice Fax: 570-326-0396

1881680635 — MR. ANTHONY F. CAMPANA OD
Practice Location Address:

435 RIVER AVE
WILLIAMSPORT, PA
17701-3722

Practice Phone: 866-995-3937
Practice Fax: 570-966-5586

1730176355 — LYNNWOOD A WALMER MD
Practice Location Address:

435 RIVER AVE
WILLIAMSPORT, PA
17701-3722

Practice Phone: 570-326-8070
Practice Fax:

1053360172 — GARY MICHAEL DINCHER D.P.M.
Practice Location Address:

445 RIVER AVE
WILLIAMSPORT, PA
17701-3722

Practice Phone: 570-326-7600
Practice Fax: 570-326-2550

1598974560 — NATHANIEL D. HARE M.D.
Practice Location Address:

451 RIVER AVE
WILLIAMSPORT, PA
17701-3722

Practice Phone: 570-320-7070
Practice Fax: 570-320-7071

1871764993 — CENTRAL PENN INTERVENTIONAL PAIN MEDICINE
Practice Location Address:

451 RIVER AVE
WILLIAMSPORT, PA
17701-3722

Practice Phone: 570-490-1498
Practice Fax:

Directions to “ DR. MICHAEL G BONNER OD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.