Organization
NILAH NICOLE BONHAM OD PC
Active
Other names
EYECARE SPECIALISTS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NILAH NICOLE BONHAM OD (OPTOMETRIST)
(812) 443-0060
Entity
Organization
Contact information
Practice address
325 W NATIONAL AVE, BRAZIL, IN 47834
(812) 443-0060
(812) 446-5061
Mailing address
325 W NATIONAL AVE, BRAZIL, IN 47834
(812) 443-0060
(812) 446-5061
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003365B
IN
332H00000X
Eyewear Supplier
18003365A
IN
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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