Rodger Dante Bodoia, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD00024503 Issued in WA

Practice address

215 Lilly Rd NE
Olympia, WA 98506

Phone

(360) 456-4800

Fax

(360) 456-4812

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073676847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 LILLY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98506",
            "telephone_number": "360-456-4800",
            "fax_number": "360-456-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 LILLY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98506",
            "telephone_number": "360-456-4800",
            "fax_number": "360-456-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODOIA",
        "first_name": "RODGER",
        "middle_name": "DANTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00024503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8113375",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Charles Bode, DDS
• Bodhi ABA
• Pamela Kay Bodine
• Rosemarie Cilia Bodine I
• Rebecca M Bodle-Shingu, ARNP
• Joy Bodwell, O.D.
• Bodymechanics Massage Services, Inc.
• Christina Burke Boehmer, DPT
• Jacob Boese
• Padam Bogati, DPT

• Ophthalmology Physician in Olympia, WA
• Providers in Olympia, WA by specialty
• Ophthalmology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.