OrganizationActive
Bonner Eye Clinic Optical LLC
NPI 1093287849 · Durable Medical Equipment & Medical Supplies · Grand Rapids, MN
Provider details
- NPI number
- 1093287849
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Manuel Mariano, Owner/President(218) 326-3433
Specialties & taxonomies
Suppliers
Practice location
1542 Golf Course Rd Ste 201
Grand Rapids, MN 55744-3537
Phone: (218) 326-3433
Fax: (218) 326-3435
Approximate (ZIP-level) locationGet directions
Mailing address
1542 Golf Course Rd Ste 201
Grand Rapids, MN 55744-3537
Additional practice locations (1)
- 3605 Mayfair Ave Ste 2150Hibbing, MN 55746-2938Phone: (218) 262-3156Fax: (218) 326-3435
Registry dates
- Enumerated
- 2018-12-18
- Last updated
- 2018-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.