Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Derek John Bonacci, OD

Individual provider Optometrist · NPI 1356572804

Dr. Derek John Bonacci, OD is an Optometry in Saint Cloud, Minnesota. Qualified in 2009, 17 years ago. Practices with St Cloud Eye Clinic PA, a 5-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
17
Licensed in
MN
In the registry since
2009
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2055 15th St N
Saint Cloud, MN 56303-1747
Phone: (320) 251-1432
Fax: (320) 251-7122
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3170 (MN)

Record details

NPI number1356572804
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 31, 2009
Last updated in NPPESMarch 15, 2018
Mailing address2055 15th St N, Saint Cloud, MN 56303-1747

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice St Cloud Eye Clinic Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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