NPI 1598747875 · live from the CMS NPI Registry
Marc A. Bodenheimer, M.D.
Ophthalmology, Cornea and External Diseases Specialist in Knoxville, TN. National Provider Identifier 1598747875, active.
NPI record
| NPI | 1598747875 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology, Cornea and External Diseases Specialist 207WX0120X |
| Practice location | 4528 Chapman Hwy, Knoxville, TN 37920 |
| Practice phone | 865-579-3920 |
| Enumerated | November 14, 2005 |
| Last updated | June 22, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology, Cornea and External Diseases Specialist primary | 207WX0120X | MD28730 (TN) |
| Ophthalmology | 207W00000X | MD28730 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.