Individual
GARY K BOCKHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1800 SIESTA DR, SARASOTA, FL 34239-6009
(941) 953-2020
(941) 953-2046
Mailing address
1360 E VENICE AVE, VENICE, FL 34285-9066
(941) 488-2020
(941) 484-2200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1259
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19999
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/27/2006
Last updated
11/27/2023
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