Gregory Taylor Bodrie, O.D.

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

License

OD 2646 TPA Issued in MA

Practice address

66 Pleasant St.
Sagamore, MA 02561-0532

Phone

(508) 888-2020

Fax

(508) 888-4423

NPI assigned

Jan 30, 2006

Last updated

Jan 11, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gregory T Bodrie OD

  • Durable Medical Equipment & Medical Supplies
  • Sagamore, MA
  • NPI 1992973986
  NPD Authorized official

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1164493979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532",
            "address_2": "66 PLEASANT ST",
            "city": "SAGAMORE",
            "state": "MA",
            "postal_code": "025610532",
            "telephone_number": "508-888-2020",
            "fax_number": "508-888-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 PLEASANT ST.",
            "city": "SAGAMORE",
            "state": "MA",
            "postal_code": "025610532",
            "telephone_number": "508-888-2020",
            "fax_number": "508-888-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODRIE",
        "first_name": "GREGORY",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "MA",
            "license": "OD 2646 TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH CARE   HMO",
            "identifier": "710362",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "W15268",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DET EMPLOYER ID",
            "identifier": "79402030",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0332003",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory T Bodrie OD
• Andrea M Lamb, LICSW
• Jessica Marie Peterson
• Matthew Ryan Reid, LICSW
• Danielle Steek, MSW

• Low Vision Rehabilitation Optometrist in Sagamore, MA
• Providers in Sagamore, MA by specialty
• Low Vision Rehabilitation Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.