Larry J. Bonderud, Od
Larry J. Bonderud, Od is a healthcare organization registered as Optometrist in Conrad, MT, holding Type 2 (organization) NPI 1952812331 since 2017. The authorized official on file is Larry Bonderud, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1952812331 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Larry J. Bonderud, Od |
| Other name | <Unavail> |
| Practice address | 19 4TH AVE SW, Conrad, MT, 59425 |
| Phone | 4062715517 |
| Fax | 4062715518 |
| Enumeration date | 2017-10-12 |
| Last updated in NPPES | 2018-03-17 |
Authorized official
| Name | Larry Bonderud |
|---|---|
| Title | Owner |
| Phone | 4064345196 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | 393 | MT |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00481389 | Medicaid | MT | — |
Copy-ready billing details
Provider: Larry J. Bonderud, Od NPI: 1952812331 Taxonomy: 152W00000X (Optometrist) Address: 19 4TH AVE SW, Conrad, MT, 59425
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1295850535 | Larry Bonderud & Mark Stanchfield Optometrists | Organization | Optometrist | Conrad, MT |
Verify this record
Cross-check NPI 1952812331 against the authoritative CMS record: view Larry J. Bonderud, Od on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Larry J. Bonderud, Od?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-03-17.