Individual
DR. TAMARA LYNN BONNES-HEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
724 N DIERS AVE, GRAND ISLAND, NE 68803-4954
(308) 384-9505
(308) 384-4939
Mailing address
724 N DIERS AVE, GRAND ISLAND, NE 68803-4954
(308) 384-9505
(308) 384-4939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NE 1041
NE
152WC0802X
Corneal and Contact Management Optometrist
NE 1041
NE
152WP0200X
Pediatric Optometrist
NE 1041
NE
152WV0400X
Vision Therapy Optometrist
NE 1041
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025072000
—
NE
01
—
36335
BLUE CROSS BLUE SHIELD NE
NE
Enumeration date
01/31/2007
Last updated
12/10/2013
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