Provider Demographics
NPI:1093711293
Name:BOND, MICHAEL L (OD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:L
Last Name:BOND
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:2351 S FM 51
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-3777
Mailing Address - Country:US
Mailing Address - Phone:940-626-0045
Mailing Address - Fax:940-626-4484
Practice Address - Street 1:2351 S FM 51
Practice Address - Street 2:SUITE 200
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-3777
Practice Address - Country:US
Practice Address - Phone:940-626-0045
Practice Address - Fax:940-626-4484
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX6005TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7363232OtherAETNA
TX80814QOtherBCBS
TX7363232OtherAETNA