DR. GREGORY TAYLOR BODRIE O.D. NPI 1164493979

NPI Information

  • NPI: 1164493979
  • Provider Name: DR. GREGORY TAYLOR BODRIE, O.D.
  • Classification: Optometrist - 152WL0500X
  • Specialization: Low Vision Rehabilitation
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 66 PLEASANT ST.
    SAGAMORE, MA
    ZIP 02561
  • Phone: (508) 888-2020

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NPI Details

DR. Gregory Taylor Bodrie, O.D. is a low vision rehabilitation optometrist in Sagamore, MA with 49 years of experience. The provider is optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. DR. Gregory Taylor Bodrie, O.D. NPI is 1164493979. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW ENGLAND COLLEGE OF OPTOMETRY
Graduation Year:1977

The provider's business location address is:

66 PLEASANT ST.
SAGAMORE, MA
ZIP 02561-532
Phone: (508) 888-2020
Fax: (508) 888-4423

The NPI 1164493979 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Imaging of retina (HCPCS:92134)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Exam of visual field with extended testing (HCPCS:92083)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Imaging of optic nerve (HCPCS:92133)
  • Extended exam of the back part of the eye with retinal drawing (HCPCS:92201)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)

The enumeration date for this NPI number is 1/30/2006 and was last updated on 1/11/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WL0500XOptometristLow Vision RehabilitationOD 2646 TPAMASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14688780001MEDICARE NSC
279402030OTHERMASSACHUSETTSDET EMPLOYER ID
3171458MEDICARE UPINMASSACHUSETTS
4468878001MEDICARE PINMASSACHUSETTS
5W15268OTHERMASSACHUSETTSBLUE CROSS BLUE SHIELD
6710362OTHERMARYLANDTUFTS HEALTH CARE HMO
70332003MEDICAIDMASSACHUSETTS
8171458MEDICARE PINMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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