NPI 1356340830 · live from the CMS NPI Registry
Bruce Ira Bodner, MD
Ophthalmology in Norfolk, VA. National Provider Identifier 1356340830, active.
NPI record
| NPI | 1356340830 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 241 Corporate Blvd, Norfolk, VA 23502 |
| Practice phone | 757-622-2200 |
| Mailing address | 400 Gresham Dr, Suite 403, Norfolk, VA 23507 |
| Enumerated | July 18, 2005 |
| Last updated | July 13, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 0101021043 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.