DR. KARL D BODENDORFER MD NPI 1205947959

NPI Information

  • NPI: 1205947959
  • Provider Name: DR. KARL D BODENDORFER, MD
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1615 SW MAIN BLVD
    LAKE CITY, FL
    ZIP 32025
  • Phone: (386) 755-2785

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NPI Details

DR. Karl D Bodendorfer, MD is an ophthalmology in Lake City, FL with 30 years of experience. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. DR. Karl D Bodendorfer, MD NPI is 1205947959. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1995

The provider's business location address is:

1615 SW MAIN BLVD
LAKE CITY, FL
ZIP 32025-108
Phone: (386) 755-2785
Fax: (386) 755-1128

The NPI 1205947959 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), Power Mobility Devices.

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.

  • Injection, bimatoprost, intracameral implant, 1 microgram (HCPCS:J7351)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Imaging of retina (HCPCS:92134)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Measurement of nerve conduction using visual stimulation testing with report (HCPCS:95930)
  • Measurement of corneal curvature and depth of eye (HCPCS:92136)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Imaging of optic nerve (HCPCS:92133)
  • Pattern recording of retinal electrical responses to external stimuli with interpretation and report (HCPCS:0509T)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Photography of the retina (HCPCS:92250)
  • Injection of medication into eye (HCPCS:66030)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Laser repair to improve eye fluid flow (HCPCS:65855)
  • Removal of eyelashes using forceps (HCPCS:67820)
  • Ultrasound scan of cornea to determine thickness (HCPCS:76514)
  • Measurement of retinal and optic nerve function (HCPCS:92273)
  • Ultrasound scan to determine eye length and lens power (HCPCS:76519)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 8/31/2006 and was last updated on 10/3/2024.

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
1207W00000XOphthalmologyME78478FLORIDAYes

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
1001933700MEDICAIDFLORIDA
2259120101MEDICAIDFLORIDA
335612AOTHERFLORIDABC/BS
4P00087109OTHERFLORIDARAILROAD MEDICARE
5259120100MEDICAIDFLORIDA

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: 3/30/2025

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