DEREK BODART NPI 1609515097

NPI Information

  • NPI: 1609515097
  • Provider Name: DEREK BODART
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Individual
  • Address: 6525 SUNPLEX DR
    OCEAN SPRINGS, MS
    ZIP 39564
  • Phone: (813) 928-5743

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NPI Details

Derek Bodart is an eyewear supplier in Ocean Springs, MS. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. Derek Bodart NPI is 1609515097. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6525 SUNPLEX DR
OCEAN SPRINGS, MS
ZIP 39564-704
Phone: (813) 928-5743

The enumeration date for this NPI number is 6/2/2022 and was last updated on 6/2/2022.

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
1332H00000XEyewear SupplierYes

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

NPI Synchronization or Removal

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