WILLIAM C BONNER (OD) – Optometrist, NPI 1750309597
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
959 OPTOMETRY in GA
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Provider Addresses for WILLIAM C BONNER (OD)
Medlock Bridge Parkway, Johns Creek, Fulton County, Georgia, 30022, United States
JOHNS CREEK, GA 300226640
Phone: (770) 813-0026
Fax: (770) 813-0029
Type: Location
9875 Medlock Bridge Pkwy Ste 100
Johns Creek, GA 300226640
Phone: (770) 813-0026
Fax: (770) 813-0029
Type: Location
73 Prestige Ln Ste 201
Dawsonville, GA 305346371
Phone: (064) 712-4377
Type: Location
1034 HAW CREEK CIR STE 100
CUMMING, GA 300416513
Phone: (678) 737-4616
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $305.
Total Amount is formed as General ($305) + Research ($0) + Ownership ($0) = $305.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Harrow Eye, LLC ($85).
Total Amount
$305
General + Research + Ownership
Payments
9
Total payment records
General Amount
$305
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-12-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101213000235 | I | Optometry | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 66 | 46 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 44 | 38 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 37 | 37 | $0 |
| 92004 | New patient complete exam of visual system | 28 | 28 | $0 |
| 92014 | Established patient complete exam of visual system | 24 | 24 | $0 |
Insurance plans in this area (ZIP 30022)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | GA | |
| - | GA | |
| O P T O M E T R Y | GA | |
| O P H T H A L M O L O G Y | GA | |
| O P H T H A L M O L O G Y | GA | |
| O P H T H A L M O L O G Y | GA | |
| O P H T H A L M O L O G Y | GA | |
| O P T O M E T R Y | GA | |
| - | AL | |
| O P H T H A L M O L O G Y | GA |
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