DR. DAVID BRADLEY BODKIN (NPI# 1295875938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295875938 |
| Entity Type | Individual |
| Full Name | DR. DAVID BRADLEY BODKIN |
| Credential | O.D. |
| Practice Address |
1296 Long Grove Dr Mount Pleasant SC 29464-9462 |
| Practice Telephone | 6179702252 |
| Mailing Telephone | 6179702252 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1461 | SC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | D14615 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134280605 | David J Bodkin | Internal Medicine | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2006-12-12 |
| Street Address |
1296 LONG GROVE DR |
| City | MOUNT PLEASANT |
| State | SC |
| Zip Code | 29464-9462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710111588 | The Vision Center At Seaside Farms | Optometrist | 1296 Long Grove Dr, Mount Pleasant, SC 29464-9462 | 2009-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336780550 | Pleasant Eye Care, LLC | Optometrist | 1218 Belk Dr Spc B-2a, Mount Pleasant, SC 29464-3394 | 2019-09-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1023526407 | Compass Vision Care | Optometrist | 495 Wando Park Blvd Ste 101, Mount Pleasant, SC 29464-7952 | 2018-01-18 |
| 1871721910 | Leslie Elizabeth Kirk | Optometrist | 3525 Park Avenue Blvd, Mount Pleasant, SC 29466 | 2009-06-28 |
| 1558560003 | Rachael Cathleen Click | Optometrist | 1118 Park West Blvd, Suite 5, Mount Pleasant, SC 29466-7124 | 2007-07-15 |
| 1073602421 | Katherine James Kegel | Optometrist | 1929 Oak Tree Ln, Mount Pleasant, SC 29464-9426 | 2006-10-12 |
| 1073602199 | James N Conard | Optometrist | 1023 Legends Club Dr, Mount Pleasant, SC 29466-9057 | 2006-10-12 |
| 1932129111 | Michael David Criswell | Optometrist | 652 Coleman Blvd, Suite 104, Mount Pleasant, SC 29464 | 2006-07-20 |
| 1497716153 | James Bradley Majors | Optometrist | 709 C Long Point Road, Mount Pleasant, SC 29464 | 2006-03-31 |
| 1609858398 | David M Eulau | Optometrist | 1113 Market Center Blvd, Suite H, Mount Pleasant, SC 29464-7468 | 2005-11-17 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 29464 |
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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.