Dr. Larry James Bonderud is a Shelby, Montana based male Optometrist with 49 years of experience in Optometry. He completed his graduation from Southern California College Of Optometry in 1975. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Larry James Bonderud is 393 for Optometry in Montana. Dr. Larry James Bonderud examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Larry James Bonderud speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
49+ years
Medical School Attended:
Southern California College Of Optometry
Graduation Year:
1975
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
865 Oilfield Ave, Shelby, Montana, 59474-2702
Phone:
406-434-5196
Fax:
406-434-5197
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8224108543
Enrollment ID:
I20080529000451
NPI Number:
1164414322
NPI Enumeration Date:
15 Aug, 2005
NPI Last Update On:
26 May, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Larry James Bonderud are as mentioned below.
License Number
Specialization
State
Status
393
Optometry
Montana
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Larry James Bonderud such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
25830
Other
Montana
BC/BS PROVIDER #
410016078
Other
Montana
RAILROAD PROVIDER #
393
Other
Montana
STATE TAX ID #
MSF0007633
Other
Montana
MT STATE FUND PROVIDER #
0481389
Medicaid
Montana
810378082001
Other
Montana
EBMS PROVIDER #
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
865 Oilfield Ave, Shelby, Montana
Zip:
59474-2702
Phone Number:
406-434-5196
Fax Number:
406-434-5197
Patients can reach Dr. Larry James Bonderud at 865 Oilfield Ave, Shelby, Montana or can call to book an appointment on 406-434-5196. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.