FREDERICK BODENHAMER

BODENHAMER EYE CONSULTANTS, LLC

Dr FREDERICK BODENHAMER is a male medical professional, specializing in Optometry. He graduated in 1975 from Southern College Of Optometry.

Contact

BODENHAMER EYE CONSULTANTS, LLC

3238 W TRUMAN BLVD
UPPR LEVEL
JEFFERSON CITY
MO
651095708

Tel: 5736352020

FREDERICK BODENHAMER Information

Npi 1134255243
Pac Id 7315047859
Professional Enrollment Id I20070712000333
Last Name BODENHAMER
First Name FREDERICK
Middle Name
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Gender M
Credential
Medical School Name SOUTHERN COLLEGE OF OPTOMETRY
Graduation Year 1975
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name BODENHAMER EYE CONSULTANTS, LLC
Group Practice Pac Id 8820227812
Number Of Group Practice Members 2
Line 1 Street Address 3238 W TRUMAN BLVD
Line 2 Street Address UPPR LEVEL
Marker Of Address Line 2 Suppression
City JEFFERSON CITY
State MO
Zip Code 651095708
Phone Number 5736352020
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
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Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
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Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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