BODENHAMER EYE CONSULTANTS, LLC – NPI #1679903330
Optometrist

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.

Health Care Provider Taxonomy Code for Optometrist

BODENHAMER EYE CONSULTANTS, LLC is an optometrist located in JEFFERSON CITY, MO. NPPES has assigned the NPI number 1679903330 to BODENHAMER EYE CONSULTANTS, LLC on November 17, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 152WC0802X from the Health Care Provider Taxonomy code set, which is classified as Optometrist, specializing in Corneal and Contact Management

The NPI profile was previously updated about 4 years ago on Jan 10, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BODENHAMER EYE CONSULTANTS, LLC below.

NPI Profile for
BODENHAMER EYE CONSULTANTS, LLC

NPI Number
1679903330
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BODENHAMER EYE CONSULTANTS, LLC
Primary location
3238 W TRUMAN BLVD
UPPER LEVEL
JEFFERSON CITY, MO 65109-5708
Phone: (573) 635-2020 Fax: (573) 635-7840
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRET BODENHAMER
PROVIDER
Phone: (573) 635-2020
Updated
Certification Date
Jan 10, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
152WC0802X
- Optometrist / Corneal and Contact Management (Primary)		 MO 2010026679
152WP0200X
- Optometrist / Pediatrics		 MO 2007018327

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.