Bodiford Eye Institute, PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MC-1402 Issued in AR

Legal business name

BODIFORD EYE INSTITUTE, PA

Doing business as

Bodiford Eye Center

Practice address

9001 Jenny Lind Rd
Fort Smith, AR 72908-8629

Phone

(479) 649-7018

Fax

(479) 649-7024

NPI assigned

Nov 9, 2006

Last updated

Apr 1, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary L Bodiford, M.D.

Title

Owner

Phone

(479) 649-7018

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Bodiford Eye Center Doing business as

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1336219773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 JENNY LIND RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729088629",
            "telephone_number": "479-649-7018",
            "fax_number": "479-649-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 JENNY LIND RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729088629",
            "telephone_number": "479-649-7018",
            "fax_number": "479-649-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODIFORD EYE INSTITUTE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "BODIFORD",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-649-7018",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "MC-1402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "1163920001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "432291569-001",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "180029680",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180034141",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "5B988",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100728040A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bodiford Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ophthalmology Physician in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Ophthalmology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.