IndividualActive
Bonnie Mallard, OD
NPI 1407849318 · Optometrist · Clanton, AL
Provider details
- NPI number
- 1407849318
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- S-BO9-TA-693 (AL)
Practice location
1415 7th St S
Clanton, AL 35045-3746
Phone: (205) 755-7114
Fax: (205) 755-8142
Mailing address
826 Savannah Ln
Calera, AL 35040-5553
Registry dates
- Enumerated
- 2005-08-25
- Last updated
- 2007-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.