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Contact Information

NILAH NICOLE BONHAM OD PC
325 W NATIONAL AVE
BRAZIL, IN47834
 Phone: 812-443-0060
 Fax: 812-446-5061
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for NILAH NICOLE BONHAM OD PC

NPI Number 1477748986
LBN Legal business name NILAH NICOLE BONHAM OD PC
Authorized official NILAH BONHAM - (OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 09/07/2007
Last updated 09/07/2007 - About 19 years ago
Identifiers
IN License # 18003365A
IN License # 18003365B
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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