| Dr Frederick Earl Bodenhamer, OD | |
|
3238 West Truman Boulevard, Jefferson City, MO 65109-2936 | |
| (573) 635-2020 | |
| (573) 635-7840 |
| Full Name | Dr Frederick Earl Bodenhamer |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 50 Years |
| Location | 3238 West Truman Boulevard, Jefferson City, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134255243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | T02261 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bodenhamer Eye Consultants, Llc | 8820227812 | 3 |
| Provider Name | Bodenhamer Eye Consultants, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679903330 PECOS PAC ID: 8820227812 Enrollment ID: O20140218000316 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Frederick Earl Bodenhamer, OD 3238 W Truman Blvd, Jefferson City, MO 65109-5708 Ph: (573) 636-3882 | Dr Frederick Earl Bodenhamer, OD 3238 West Truman Boulevard, Jefferson City, MO 65109-2936 Ph: (573) 635-2020 |
William Miller, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3238 W Truman Blvd, Jefferson City, MO 65109 Phone: 573-635-2020 | |
Marc Alvin Franke, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2421 W Edgewood Dr, Ste A, Jefferson City, MO 65109 Phone: 573-808-3908 | |
Kenneth Graham Crutchfield, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 310 Kent St, Jefferson City, MO 65109 Phone: 573-659-7363 | |
Central Missouri Vision Center Optometrist Medicare: Medicare Enrolled Practice Location: 1445 Christy Dr Ste A, Jefferson City, MO 65101 Phone: 573-659-5560 Fax: 573-659-5561 | |
Dr. Thomas F Greene, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1445 Christy Dr Ste A, Jefferson City, MO 65101 Phone: 573-659-5560 Fax: 573-659-5561 | |
Dr. Michele Leigh Haley, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 323 Monroe St, Jefferson City, MO 65101 Phone: 573-635-1313 Fax: 573-634-8500 |