Bruce Ira Bodner in Norfolk - Ophthalmology
Bruce Ira Bodner - NPI 1356340830
Bruce Ira Bodner is a Ophthalmology in Norfolk, Virginia. Bruce Ira Bodner practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Bruce Ira Bodner is 1356340830. The last update date is 2007-07-08.
Bruce Ira Bodner's current location address is 400 Gresham Dr, Norfolk, Virginia. You can contact this provider via phone number 7576222200 and fax number 7576224866. The mailing address for Bruce Ira Bodner is 400 Gresham Dr, Norfolk, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Ira Bodner |
|---|---|
| Address | 400 Gresham Dr, Norfolk, Virginia |
| Phone Number | 7576222200 |
| Fax Number | 7576224866 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1356340830 |
|---|---|
| Provider Enumeration Date | 2005-07-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 400 Gresham Dr |
|---|---|
| City | Norfolk |
| State | Virginia (VA) |
| Post Code | 235071901 |
| Phone Number | 7576222200 |
| Fax Number | 7576224866 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 101021043 |
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Definition: 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 incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 332516 | VA | PIN/BCBS | |
| 6384021 | VA | -- |
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What is the unique identifier code issued to Bruce Ira Bodner by the Centers for Medicare & Medicaid Services (CMS)?
The Bruce Ira Bodner has been assigned the NPI (National Provider Identifier) 1356340830. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Bruce Ira Bodner located?
The Bruce Ira Bodner is located at 400 Gresham Dr, Norfolk, VA 235071901.
What is the area of specialization for Bruce Ira Bodner, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bruce Ira Bodner is Ophthalmology, and the corresponding taxonomy code that categorizes this area of expertise is 207W00000X.
When was the Bruce Ira Bodner's 1356340830 issued?
The Bruce Ira Bodner's 1356340830 was issued on 2005-07-18.
When was the Bruce Ira Bodner's information last updated?
The Bruce Ira Bodner's information was last updated on 2007-07-08.