Individual
ABBEY J BONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
205 PARK PL, BELLEFONTE, PA 16823-2557
(866) 995-3937
Mailing address
88 HARDEES DR, MIFFLINBURG, PA 17844-7062
(570) 966-5582
(570) 966-5586
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002621
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102768606-0003
—
PA
Enumeration date
06/19/2012
Last updated
01/12/2021
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