Provider Demographics
NPI:1710133517
Name:BOND FAMILY EYE CARE P.A.
Entity Type:Organization
Organization Name:BOND FAMILY EYE CARE P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:H
Authorized Official - Last Name:BOND
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:940-626-0045
Mailing Address - Street 1:2351 S FM 51
Mailing Address - Street 2:STE 200
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-3779
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:STE 200
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-3779
Practice Address - Country:US
Practice Address - Phone:940-626-0045
Practice Address - Fax:940-626-4484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-12
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX06005TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU85939Medicare UPIN
TX6237000001Medicare NSC