Gary a. Bodofsky

Primary specialty

OptometristTaxonomy code 152W00000X

License

764 Issued in SC

Legal business name

GARY A. BODOFSKY

Practice address

2014 Highway 17 N
Surfside Beach, SC 29575-6072

Phone

(843) 238-2020

Fax

(843) 238-4443

NPI assigned

Dec 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gary A Bodofsky, O.D.

Title

Owner

Phone

(843) 238-2020

Specialties & licenses 1

Addresses

Other names 1

• The Vision Centers Doing business as

Locations

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1649453051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 HIGHWAY 17 N",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295756072",
            "telephone_number": "843-238-2020",
            "fax_number": "843-238-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 HIGHWAY 17 N",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295756072",
            "telephone_number": "843-238-2020",
            "fax_number": "843-238-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY A. BODOFSKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "BODOFSKY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-238-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Vision Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Franco
• Julia Marie Fritz, BCABA
• Cara Fuller, RN
• Kinjal Gajera
• Michele Ann Gallagher, LISW-CP-S
• Mark A Gauthier, MD
• Helene Gerrald, DO
• Glenns Bay Dental Associates LLC
• Edward H Goldberg IV
• Kristina C Goodall

• All providers in Surfside Beach, SC
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.