Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN S BONEBRAKE, O.D.

Deactivated Sole Proprietor

JOHN S BONEBRAKE, O.D. is a Optometrist healthcare provider located in SAINT JOSEPH, Missouri. NPI 1194724328 is deactivated in the NPPES registry. Verify at CMS.

Optometrist · SAINT JOSEPH, MO

This NPI has been deactivated. The record was deactivated on March 20, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number: 1194724328
Provider Type: Individual
Gender: Male
NPI Issued: Jul 19, 2005 (0.66849315068493 yrs)
Last Updated: Mar 7, 2023
Deactivated: Mar 20, 2006
License: T02478 (MO)
Sole Proprietor: Yes

Practice Information

Address: 707 N 36TH ST

SUITE A

SAINT JOSEPH, MO, 645062968
Browse MO providers · Browse ZIP 64506
Phone: 8162795683
Fax: 8162795685
Primary Specialty: Optometrist
152W00000X

Other Optometrist Providers in SAINT JOSEPH, MO

Name	Credential	NPI
DR. MATTHEW E HONSON	O.D.	1508868795
DR. JAIMIE M PFEIFER	O.D.	1760484950
JOYCE KELLER STROUD	OD	1225086150
PAUL L MARSHALL	OD	1275581522
MARK ALLAN BLACKLEDGE	O.D.	1679521397
DR. M T ALDRICH	OD	1023050911

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.