KENNETH A. BONO (O.D.) – Optometrist, NPI 1568466837

KENNETH A. BONO (O.D.) is a healthcare provider. based in Leawood, Kansas. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. 1144-3 (KS). The NPI Number for KENNETH A. BONO (O.D.) is 1568466837

Main info

Male
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH A. BONO (O.D.)
NPI
1568466837
Phone
(913) 808-5830
Address
12116 STATE LINE RD
Enumeration Date
2 June 2005
Last Update Date
2 January 2015

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
9138085830
Graduation Year
1980 (46 years ago)
PAC ID
3779617220
Professional Enrollment ID
I20100819000098
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for KENNETH A. BONO (O.D.)

  • State Line Road, Leawood, Johnson County, Kansas, 65145, United States

    LEAWOOD, KS 66209

    Phone: (913) 808-5830

    Fax: (913) 808-5832

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-08-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100819000098IOptometryKSTBD

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.

Verify on CMS Revalidation Lookup Tool

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66209)

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Reviews

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Frequently asked questions

Is KENNETH A. BONO (O.D.) listed with a National Provider Identifier?
Yes — KENNETH A. BONO (O.D.) has NPI 1568466837 on file in the registry.
Is KENNETH A. BONO (O.D.) still an active registrant?
KENNETH A. BONO (O.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for KENNETH A. BONO (O.D.)?
At a glance, KENNETH A. BONO (O.D.) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with KENNETH A. BONO (O.D.)?
Directory geography for KENNETH A. BONO (O.D.) centers on Leawood, Kansas.
When was this NPI issued?
Enumeration for KENNETH A. BONO (O.D.) is noted as June 2, 2005 where the registry provides it.

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