Columbia Eye Associates PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME78478 Issued in FL

Legal business name

COLUMBIA EYE ASSOCIATES PA

Practice address

1615 SW Main Blvd
Lake City, FL 32025-1108

Phone

(386) 755-2785

Fax

(386) 755-1128

NPI assigned

Sep 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Karl Bodendorfer, MDNPI 1205947959

Title

Owner

Phone

(386) 755-2785

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Karl D Bodendorfer, MD

  • Ophthalmology Physician
  • Lake City, FL
  • NPI 1205947959

  O20100930005696

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: mshenouda@ceapa.intellechartdirect.net
• Direct secure messaging: wavonda@ceapa.intellechartdirect.net
• Direct secure messaging: kbodendorfer@ceapa.intellechartdirect.net
• Direct secure messaging: eboone@ceapa.intellechartdirect.net
• FHIR API: https://app.meldrx.com/api/fhir/K8KD7A7C
• Direct secure messaging: csingleton@ceapa.intellechartdirect.net
• Direct secure messaging: amurphy@ceapa.intellechartdirect.net
• Direct secure messaging: nkhuddus@ceapa.intellechartdirect.net
• Direct secure messaging: csweeney@ceapa.intellechartdirect.net

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karl D Bodendorfer, MD

  • Ophthalmology Physician
  • Lake City, FL
  • NPI 1205947959
  Medicare reassignment Care Compare group NPD Authorized official
• William Mark Avonda, O.D.

  • Optometrist
  • Lake City, FL
  • NPI 1710919170
  Medicare reassignment Care Compare group NPD
• Eric Brandon Boone, O.D.

  • Optometrist
  • Lake City, FL
  • NPI 1437188562
  Medicare reassignment Care Compare group NPD
• Nausheen Khuddus, MD

  • Ophthalmology Physician
  • Gainesville, FL
  • NPI 1124069505
  Medicare reassignment Care Compare group NPD
• Aria C Murphy, O.D.

  • Optometrist
  • Gainesville, FL
  • NPI 1023314382
  Medicare reassignment Care Compare group NPD
• Mary Shenouda, M.D.

  • Ophthalmology Physician
  • Lake City, FL
  • NPI 1104801976
  Medicare reassignment Care Compare group NPD
• Chasidy Dionne Singleton, M.D.

  • Ophthalmology Physician
  • Lake City, FL
  • NPI 1255425260
  Medicare reassignment Care Compare group NPD
• Virginia Burns Petitto, M.D.

  • Ophthalmology Physician
  • Gainesville, FL
  • NPI 1588624407
  Medicare reassignment NPD
• Stephanie Rowe, OD

  • Optometrist
  • Gainesville, FL
  • NPI 1225126022
  Medicare reassignment NPD
• Charles P Sweeney, M.D.

  • Ophthalmology Physician
  • Lake City, FL
  • NPI 1316922669
  Medicare reassignment NPD
• Akil Ngozi Hinds, MBBS, MBA

  • Ophthalmology Physician
  • Lake City, FL
  • NPI 1891323465
  NPD
• Patricia Lynn Bailey, O.D.

  • Optometrist
  • Lake City, FL
  • NPI 1942351218
  NPD (past)

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

{
    "created_epoch": "1189814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1295921096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320560489",
            "telephone_number": "386-755-2785",
            "fax_number": "386-755-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 SW MAIN BLVD",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320251108",
            "telephone_number": "386-755-2785",
            "fax_number": "386-755-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA EYE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-15",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "BODENDORFER",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-755-2785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME78478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB1077",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001933700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Columbia County Schools
• Columbia County Senior Services
• Columbia County Senior Services
• Columbia Emergency Group LLC
• Columbia Emergency Services Inc
• Tracy Combee
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• Comfortable Care Dental Health Professionals, PA
• Comfortcare Delight, LLC
• Concierge Home Care of Lake City LLC

• Ophthalmology Physician in Lake City, FL
• Providers in Lake City, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.