Provider Demographics
NPI:1710335393
Name:BOND, KATHERINE (OD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:
Last Name:BOND
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3213 66TH AVE
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-9627
Mailing Address - Country:US
Mailing Address - Phone:303-507-9013
Mailing Address - Fax:
Practice Address - Street 1:1675 18TH AVE
Practice Address - Street 2:STE 4
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631-5151
Practice Address - Country:US
Practice Address - Phone:303-507-9013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-24
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOPT.0003206152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist