Bodenhamer Eye Consultants, LLC

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

TO2261 Issued in MO

Legal business name

BODENHAMER EYE CONSULTANTS, LLC

Practice address

3238 W Truman Blvd
Upper Level
Jefferson City, MO 65109-5708

Phone

(573) 635-2020

Fax

(573) 635-7840

NPI assigned

Nov 17, 2013

Organization subpart

No

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

Authorized official

Name

Bret B Bodenhamer, OD

Title

Provider

Phone

(573) 635-2020

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

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

Medicare medical equipment & supply locations

Locations

Practitioners 3

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

• Bret Allen Bodenhamer, O.D.

  • Optometrist
  • Jefferson City, MO
  • NPI 1679887384
  Medicare reassignment Care Compare group NPD
• Frederick Earl Bodenhamer, O.D.

  • Optometrist
  • Jefferson City, MO
  • NPI 1134255243
  Medicare reassignment Care Compare group NPD
• William Miller, OD

  • Optometrist
  • Jefferson City, MO
  • NPI 1093492407
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1384646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1679903330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3238 W TRUMAN BLVD",
            "address_2": "UPPER LEVEL",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095708",
            "telephone_number": "573-635-2020",
            "fax_number": "573-635-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3238 W TRUMAN BLVD",
            "address_2": "UPPER LEVEL",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095708",
            "telephone_number": "573-635-2020",
            "fax_number": "573-635-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODENHAMER EYE CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-17",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "BODENHAMER",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "573-635-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MO",
            "license": "TO2261",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MO",
            "license": "2010026679",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "MO",
            "license": "2007018327",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Blanchard, M.D.
• Joseph Andrew Blanton, LCSW
• Mary Blochberger, MED, ATC, LAT
• Helen Bock
• Susan Bock
• Bret Allen Bodenhamer, O.D.
• Frederick Earl Bodenhamer, O.D.
• Shaina Elizabeth Boehm
• Luke Boehmer, PHARMD
• Cali Inez Boessen

• Corneal and Contact Management Optometrist in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Corneal and Contact Management Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.