BODIFORD EYE INSTITUTE, PA (NPI# 1336219773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336219773 |
| Entity Type | Organization |
| Organization Name | BODIFORD EYE INSTITUTE, PA |
| Other Organization Name | BODIFORD EYE CENTER |
| Practice Address |
9001 Jenny Lind Rd Fort Smith AR 72908-8629 |
| Practice Telephone | 4796497018 |
| Practice Fax Number | 4796497024 |
| Mailing Telephone | 4796497018 |
| Mailing Fax Number | 4796497024 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2013-04-01 |
| Authorized Official Name | GARY L BODIFORD (OWNER) |
| Authorized Official Telephone | 4796497018 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MC-1402 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100728040A | 05 | |
| AR | DMERC | 1163920001 | 01 |
| OK | RR MEDICARE | 180029680 | 01 |
| OK | BLUE CROSS | 432291569-001 | 01 |
| AR | RAILROAD MEDICARE | 180034141 | 01 |
| AR | BLUE CROSS | 5B988 | 01 |
| Other Name | Type Code |
|---|---|
| Bodiford Eye Center | Doing Business As Name - Organization |
| Street Address |
9001 JENNY LIND RD |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72908-8629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215998331 | Shane F Laster | Optometrist | 9001 Jenny Lind Rd, Fort Smith, AR 72908-8629 | 2006-03-29 |
| 1174184873 | Seth Laster | Optometrist | 9001 Jenny Lind Rd, Fort Smith, AR 72908-8629 | 2019-06-24 |
| 1912415563 | Dr. Shane F. Laster P.a. | Optometrist | 9001 Jenny Lind Rd, Fort Smith, AR 72908 | 2018-01-17 |
| 1124150875 | Fort Smith Cataract & Laser Center LLC | Clinic/Center | 9001 Jenny Lind Rd, Fort Smith, AR 72908-8629 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396224069 | Baptist Health Services | Family Medicine | 8600 S 36th Ter Ste A, Fort Smith, AR 72908 | 2018-08-13 |
| 1609355528 | Baptist Health Services | Family Medicine | 8600 S 36th Ter Ste B, Fort Smith, AR 72908 | 2018-08-10 |
| 1578840765 | Thomas Macmahon | Counselor | 2505 Ramsgate Way, Fort Smith, AR 72908 | 2011-11-16 |
| 1790991453 | Dr Tom A Wood Chiropractic Inc | Chiropractor | 6108 S 31st Street, Ft Smith, AR 72908 | 2007-05-16 |
| 1952317687 | Health Depot Pharmacies, LLC | Durable Medical Equipment & Medical Supplies | 7700 Hwy 271 South, Fort Smith, AR 72908 | 2006-08-01 |
| 1609879808 | Health Depot Pharmacies, LLC | Durable Medical Equipment & Medical Supplies | 7700 Hwy 271 S, Ft. Smith, AR 72908 | 2005-05-23 |
| 1700962438 | Kristin L Efurd | Speech-Language Pathologist | 3520 Glen Flora Way, Fort Smith, AR 72908-0719 | 2006-10-27 |
| 1760658488 | Hillaree Tiffee | Occupational Therapist | 3409 Coventry Ln, Fort Smith, AR 72908-0777 | 2008-05-02 |
| 1588051031 | Olivia Morgan Lensing | Speech-Language Pathologist | 10808 Saint Anthony Ct, Fort Smith, AR 72908-0789 | 2015-04-22 |
| 1871894493 | John Wikman | Surgery | 2400 Brigadoon Dr, Fort Smith, AR 72908-0911 | 2010-11-12 |
| Find all providers in zip 72908 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366584047 | Robert Paul Hughes Jr. | Ophthalmology | 115 N 10th St Ste H, Fort Smith, AR 72901-2703 | 2007-02-12 |
| 1700926813 | Line of Sight Eye Care, Pllc | Ophthalmology | 101 N 10th St, Suite G-7, Fort Smith, AR 72901-2703 | 2007-02-07 |
| 1124089222 | Randy M Ennen | Ophthalmology | 3312 S 70th St, Fort Smith, AR 72903-5052 | 2006-03-29 |
| 1841262730 | Claire B Price | Ophthalmology | 7901 Dallas St, Fort Smith, AR 72903-4281 | 2006-02-03 |
| 1053393918 | Center for Sight of Fort Smith Pa | Ophthalmology | 5518 Ellsworth Rd, Fort Smith, AR 72903-3222 | 2005-11-16 |
| 1457379083 | Christopher A Greer | Ophthalmology | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2006-07-18 |
| 1063448405 | Blake Norton Geren | Ophthalmology | 7901 Dallas St, Fort Smith, AR 72903-4281 | 2006-06-25 |
| 1952373540 | Randel L Saylor | Ophthalmology | 3000 Rogers Ave, Fort Smith, AR 72901-4232 | 2006-02-07 |
| 1467424374 | Robert B Knox | Ophthalmology | 7901 Dallas St, Fort Smith, AR 72903-4281 | 2006-02-03 |
| 1609858554 | Everett C. Moulton IIi | Ophthalmology | 5518 Ellsworth Rd, Fort Smith, AR 72903-3222 | 2005-11-16 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72908 |
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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.