Organization
BODENHAMER EYE CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRET B BODENHAMER OD (PROVIDER)
(573) 635-2020
Entity
Organization
Contact information
Practice address
3238 W TRUMAN BLVD, UPPER LEVEL, JEFFERSON CITY, MO 65109-5708
(573) 635-2020
(573) 635-7840
Mailing address
3238 W TRUMAN BLVD, UPPER LEVEL, JEFFERSON CITY, MO 65109-5708
(573) 635-2020
(573) 635-7840
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
2010026679
MO
152WC0802X
Corneal and Contact Management Optometrist
Primary
TO2261
MO
152WP0200X
Pediatric Optometrist
2007018327
MO
Other
Enumeration date
11/17/2013
Last updated
01/10/2022
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