NPI 1336219773 · live from the CMS NPI Registry
Bodiford Eye Institute, PA
Ophthalmology in Fort Smith, AR. National Provider Identifier 1336219773, active.
NPI record
| NPI | 1336219773 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 9001 Jenny Lind Rd, Fort Smith, AR 72908 |
| Practice phone | 479-649-7018 |
| Enumerated | November 9, 2006 |
| Last updated | April 1, 2013 |
| Authorized official | Gary Bodiford, Owner |
| Other names | Bodiford Eye Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | MC-1402 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.