IndividualActive
Tina Bonilla
NPI 1659063105 · Optician · Hermiston, OR
Provider details
- NPI number
- 1659063105
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1350 N 1st St
Hermiston, OR 97838-1102
Phone: (541) 567-5283
Fax: (541) 567-5407
Approximate (ZIP-level) locationGet directions
Mailing address
1350 N 1st St
Hermiston, OR 97838-1102
Registry dates
- Enumerated
- 2023-05-23
- Last updated
- 2023-06-02
- Certified
- 2023-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.