MR. DAVID BODNARCHUK (NPI# 1124267612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124267612 |
| Entity Type | Individual |
| Full Name | MR. DAVID BODNARCHUK |
| Practice Address |
7955 Airport Pulling Rd N Suite 104 Naples FL 34109-1794 |
| Mailing Address |
6190 Spanish Oaks Ln Naples FL 34119-8601 |
| Practice Telephone | 2395937747 |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2009-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
DO2644 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LICENSE | DO2644 | 01 |
| Street Address |
7955 AIRPORT PULLING RD N SUITE 104 |
| City | NAPLES |
| State | FL |
| Zip Code | 34109-1794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366438855 | Stephen E Smith | Ophthalmology | 7955 Airport Pulling Rd N, Suite 104, Naples, FL 34109-1794 | 2005-09-21 |
| 1073971206 | Virtual Health Ventures | Clinic/Center | 7955 Airport Pulling Rd N, Suite 205, Naples, FL 34109-1794 | 2016-02-02 |
| 1356785596 | Xoc Chiropractic Inc | Chiropractor | 7955 Airport Pulling Rd N, Suite 203, Naples, FL 34109-1794 | 2013-04-18 |
| 1205121878 | Julia Sun Lee | Emergency Medicine | 7955 Airport Pulling Rd N, 102, Naples, FL 34109-1794 | 2011-06-12 |
| 1417198094 | Kelly Ann Malinoski | Podiatrist | 7955 Airport Pulling Rd N, Suite 101, Naples, FL 34109-1794 | 2009-03-12 |
| 1598941791 | Brenda J Polewac Od Pa | Optometrist | 7955 Airport Pulling Rd N, Suite 104, Naples, FL 34109-1794 | 2008-01-17 |
| 1588697007 | Michelle Pleasant | Emergency Medicine | 7955 Airport Pulling Rd N, Suite 102, Naples, FL 34109-1794 | 2006-07-08 |
| 1801843909 | Brenda Polewac | Optometrist | 7955 Airport Pulling Rd N, Suite 104, Naples, FL 34109-1794 | 2006-05-27 |
| 1619937554 | Eye Associates of Southwest Florida, M.d.,p.a. | Ophthalmology | 7955 Airport Pulling Rd N, Suite 104, Naples, FL 34109-1794 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407325467 | Dah Therapies LLC | Clinic/Center | 4750 Aston Gardens Way, Therapy Room, Second Floor, Naples, FL 34109 | 2018-11-20 |
| 1003302712 | Ocuflow Doppler LLC | Radiology | 1855 Veterans Park Drive, Naples, FL 34109 | 2018-07-05 |
| 1114417508 | Vascular Center of Naples Inc. | Surgery | 5490 Bryson Dr Ste 201, Naples, FL 34109 | 2018-05-11 |
| 1497257968 | Neuro-tech Inc | Behavioral Analyst | 5687 Naples Blvd Suite A, Naples, FL 34109 | 2018-03-01 |
| 1407302177 | Kendria Brown | Behavioral Analyst | 10641 Airport Pulling Road, Naples, FL 34109 | 2016-08-31 |
| 1255789368 | Ideal Image | Specialist | 1485 Pine Ridge Road Unit #1, Naples, FL 34109 | 2016-05-31 |
| 1790153062 | Lee Memorial Health System | Pharmacy | 3361 Pine Ridge Rd, Suite 100, Naples, FL 34109 | 2015-09-03 |
| 1922400340 | North Naples Pediatric Center | Pediatrics | 9160 Galleria Court, Naples, FL 34109 | 2014-09-17 |
| 1720326978 | Evan Michael Asay | Occupational Therapist | 1865 Veterans Park Drive, Suite 101, Naples, FL 34109 | 2013-01-23 |
| 1942599436 | Anchors Away Medical Corp. | Internal Medicine | 1495 Pine Ridge Rd., Suite 4, Naples, FL 34109 | 2011-04-05 |
| Find all providers in zip 34109 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790025229 | America's Best | Technician/Technologist | 5026 Airport Pulling Rd N, Naples, FL 34105-2407 | 2013-02-20 |
| 1811295306 | Eyeglass World | Technician/Technologist | 6355 Naples Blvd Ste 12&3, Naples, FL 34109-2070 | 2011-03-07 |
| 1497947493 | Christopher Hayden Dunn | Technician/Technologist | 5926 Premier Way #112, Naples, FL 34109-7807 | 2007-08-14 |
| 1497883698 | Wal-mart Stores East, L.p. | Technician/Technologist | 6650 Collier Blvd., Naples, FL 34114 | 2007-03-01 |
| 1568555415 | Wal-mart Stores East, Lp | Technician/Technologist | 5420 Cormorant Ave, Naples, FL 34109-2628 | 2006-10-02 |
| 1669673539 | Briggs Optical Two Lc | Technician/Technologist | 15495 Tamiami Trl N, Suite 124, Naples, FL 34110-6206 | 2007-05-30 |
| 1033208970 | Wal-mart Stores East, Lp | Technician/Technologist | 3451 Tamiami Trl E, Naples, FL 34112-4942 | 2006-10-11 |
| 1427141530 | Wal-mart Stores East, Lp | Technician/Technologist | 9885 Collier Blvd, Naples, FL 34114-2638 | 2006-10-02 |
| 1932290475 | Sams Club Optical | Technician/Technologist | 2550 Immokalee Rd, Naples, FL 34110-1410 | 2006-09-28 |
| 1891887915 | Wal-mart Stores East, Lp | Technician/Technologist | 11225 Tamiami Trl N, Naples, FL 34110-1639 | 2006-09-28 |
| Find all providers in NAPLES | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.