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BODENHAMER EYE CONSULTANTS LLC NPI 1679903330


NPI Information

NPI: 1679903330
Provider Name: BODENHAMER EYE CONSULTANTS, LLC
Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

Address:
3238 W TRUMAN BLVD
UPPER LEVEL
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 635-2020
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BODENHAMER EYE CONSULTANTS, LLC is a corneal and contact management optometrist in Jefferson City, MO. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. BODENHAMER EYE CONSULTANTS, LLC NPI is 1679903330. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3238 W TRUMAN BLVD
UPPER LEVEL
JEFFERSON CITY, MO
ZIP 65109-708
Phone: (573) 635-2020
Fax: (573) 635-7840

The provider's authorized official is Bret B Bodenhamer .
The authorized official title is Provider and has the following contact phone number (573) 635-2020.

The enumeration date for this NPI number is 11/17/2013 and was last updated on 1/10/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WP0200XOptometristPediatrics2007018327MISSOURINo
2152WC0802XOptometristCorneal and Contact Management2010026679MISSOURINo
3152WC0802XOptometristCorneal and Contact ManagementTO2261MISSOURIYes

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: 11/14/2023

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