Individual
MRS. DAWN L. BOHNERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
422 PERRY ST, LA PORTE, IN 46350-3200
(219) 325-0404
(219) 325-0335
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002867
IN
152W00000X
Optometrist
Primary
18002867A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200183610
—
IN
Enumeration date
12/05/2006
Last updated
06/08/2026
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