BRIAN K BODDY (NPI# 1609019405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609019405 |
| Entity Type | Individual |
| Full Name | BRIAN K BODDY |
| Practice Address |
3530 Zafarano Dr Ste C1 Santa Fe NM 87507-2609 |
| Mailing Address |
Po Box 6079 Santa Fe NM 87502-6079 |
| Practice Telephone | 5054712020 |
| Practice Fax Number | 5054735103 |
| Mailing Telephone | 5054712020 |
| Mailing Fax Number | 5054735103 |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2009-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Street Address |
3530 ZAFARANO DR STE C1 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87507-2609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316390 | Cynthia Lois Meyers | Pharmacy | 2709 Cerrillos Road, Santa Fe, NM 87507 | 2020-11-03 |
| 1578160685 | Nancy Benigsohn | Counselor | 4001 Office Courte., Suite 603, Santa Fe, NM 87507 | 2020-10-02 |
| 1730684853 | Presbyterian Healthcare Services | General Acute Care Hospital | 4801 Beckner Road, Santa Fe, NM 87507 | 2018-03-29 |
| 1033623780 | Averie Montgomery-diener | Physical Therapy Assistant | 2538 Camino Entrad Suite 300, Santa Fe, NM 87507 | 2017-11-16 |
| 1013426790 | Deja Nicole Mendez | Behavior Technician | 2213 Paseo De Tercero, Santa Fe, NM 87507 | 2017-09-25 |
| 1548787633 | Lauren Sherwood | Behavior Technician | 4129 S Meadows Rd, Apt #1023, Santa Fe, NM 87507 | 2017-08-29 |
| 1972032563 | Alyssa Butler | Counselor | 1409 Zepol Rd Apt 110, Santa Fe, NM 87507 | 2017-06-07 |
| 1093253221 | Stateserv Medical | Durable Medical Equipment & Medical Supplies | 4326 Airport Road, Unit F, Santa Fe, NM 87507 | 2017-02-08 |
| 1891233128 | Daniel & Max, LLC | Optometrist | 4079 Cerillos Road, Santa Fe, NM 87507 | 2017-02-07 |
| 1508225749 | Youth Shelters and Family Services | Counselor | 5686 B Agua Fria Street, Santa Fe, NM 87507 | 2016-02-16 |
| Find all providers in zip 87507 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477187912 | Jacqueline Rodriguez | Technician/Technologist | 1110 Vuelta De Las Acequias, Santa Fe, NM 87507-7105 | 2020-02-24 |
| 1528341898 | Wal-mart Stores East Lp | Technician/Technologist | 5701 Herrera Dr, Santa Fe, NM 87507 | 2011-09-23 |
| 1316029820 | Wal-mart Stores East, Lp | Technician/Technologist | 3251 Cerrillos Rd, Santa Fe, NM 87507-2924 | 2006-10-20 |
| 1689763484 | Sam's Club Optical | Technician/Technologist | 4201 Rodeo Rd, Santa Fe, NM 87507-4837 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275056186 | Marie Angela Archibeque | Technician/Technologist | 2910 San Mateo Blvd Ne Ste 6, Albuquerque, NM 87110-3187 | 2017-07-23 |
| 1558882910 | Norma Karram | Technician/Technologist | 1300 W Maloney Ave Ste 208, Gallup, NM 87301-3325 | 2017-07-06 |
| 1295188050 | Vista Optical | Technician/Technologist | 102 W Octagon St, Bldg 77b, Cannon Afb, NM 88103-5207 | 2016-07-18 |
| 1649619511 | National Vision Optical | Technician/Technologist | 7901 Gibson Blvd, Bldg 20176, Kirtland, NM 87117 | 2013-06-24 |
| 1437403359 | National Vision Optical | Technician/Technologist | Main Exchange Bldg. 260, White Sands Missile Range, NM 88002 | 2012-10-30 |
| 1548541204 | Roberta Jean Montoya I | Technician/Technologist | 3905 Isleta Blvd Sw, Albuquerque, NM 87105-6130 | 2011-09-07 |
| 1144534892 | Kathryn Branch Casey | Technician/Technologist | 1101 State Road 1, Socorro, NM 87801-5004 | 2010-08-04 |
| 1629396015 | Lorraine Gomez | Technician/Technologist | 4201 Central Ave Ne, #b2, Albuquerque, NM 87105-1630 | 2010-05-10 |
| 1043534209 | Ray J Montoya | Technician/Technologist | 1908 N Prince St, Clovis, NM 88101-4857 | 2010-03-17 |
| 1760662548 | William Stacey Swan | Technician/Technologist | 104 S Plaza, Taos, NM 87571-5957 | 2007-11-08 |
| Find all providers with the same taxonomy | ||||
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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.