Ronald Dustin Bodman in Brookings - Optometrist
Ronald Dustin Bodman - NPI 1811008493
Ronald Dustin Bodman is a Optometrist in Brookings, Oregon. Ronald Dustin Bodman practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Ronald Dustin Bodman is 1811008493. The last update date is 2007-07-08.
Ronald Dustin Bodman's current location address is 586 5th St, Brookings, Oregon. You can contact this provider via phone number 5414697775 and fax number 5414693102. The mailing address for Ronald Dustin Bodman is 586 5th St, Brookings, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ronald Dustin Bodman |
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Address | 586 5th St, Brookings, Oregon |
Phone Number | 5414697775 |
Fax Number | 5414693102 |
Sole Proprietor | N |
Credentials | O.D. |
NPI Number Detail
NPI Number | 1811008493 |
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Provider Enumeration Date | 2006-08-31 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 586 5th St |
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City | Brookings |
State | Oregon (OR) |
Post Code | 974159720 |
Phone Number | 5414697775 |
Fax Number | 5414693102 |
Provider's Primary Taxonomy Detail
Speciality | Optometrist |
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Taxonomy | 152W00000X |
Licence No | 2988T |
Definition: 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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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27977 | OR | -- |
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What is the unique 10-digit identifier code issued to Ronald Dustin Bodman by the Centers for Medicare & Medicaid Services?
The Ronald Dustin Bodman has been assigned the NPI (National Provider Identifier) 1811008493 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Ronald Dustin Bodman's physical address?
The Ronald Dustin Bodman is physically located at 586 5Th St, in the city of Brookings, OR, with the postal code 974159720.
What is Ronald Dustin Bodman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ronald Dustin Bodman's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date did the Ronald Dustin Bodman receive its 1811008493 assignment from the Centers for Medicare & Medicaid Services?
The Ronald Dustin Bodman was assigned its 1811008493 by the Centers for Medicare & Medicaid Services on 2006-08-31.
As of what date was the information regarding Ronald Dustin Bodman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ronald Dustin Bodman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.