Gary K Bockhold, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1259 Issued in FL

Practice address

1800 Siesta Dr
Sarasota, FL 34239-6009

Phone

(941) 953-2020

Fax

(941) 953-2046

NPI assigned

Sep 27, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1528159738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342859066",
            "telephone_number": "941-488-2020",
            "fax_number": "941-484-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SIESTA DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396009",
            "telephone_number": "941-953-2020",
            "fax_number": "941-953-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCKHOLD",
        "first_name": "GARY",
        "middle_name": "K",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-11-27",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "19999",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gbockhold@centerforsight.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Center For Sight, PL",
            "address_1": "1800 Siesta Dr",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342396009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christina Nadia Bobrek
• Claudia Bocanegra
• Kimberly Ann Bociek, A.P.
• Leslieann Rhodes Bock, PTA
• Nicholas Donald Bockey, PHARMD, RPH
• Ellena Lois Boddie, M.D.
• Gabrielle Nicole Bodkin, LMHC
• Holli Bodner, PSY D
• Body Balance for Performance of Sarasota, Inc.
• Body Therapy and Wellness L.L.C.

• Optometrist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.