Individual
DR. ALEXANDER M BONAKDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
801 N TUSTIN AVE, STE 404, SANTA ANA, CA 92705-3608
(714) 558-1182
Mailing address
801 N TUSTIN AVE, STE 404, SANTA ANA, CA 92705-3608
(714) 558-1182
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT9763T
CA
152WC0802X
Corneal and Contact Management Optometrist
OP9763
CA
152WP0200X
Pediatric Optometrist
OPT9763
CA
152WS0006X
Sports Vision Optometrist
OPT9763
CA
152WV0400X
Vision Therapy Optometrist
OPT9763
CA
152WX0102X
Occupational Vision Optometrist
OPT9763
CA
Other
Enumeration date
06/13/2005
Last updated
09/16/2014
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