COLUMBIA EYE ASSOCIATES PA (NPI# 1295921096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295921096 |
| Entity Type | Organization |
| Organization Name | COLUMBIA EYE ASSOCIATES PA |
| Practice Address |
1615 Sw Main Blvd Lake City FL 32025-1108 |
| Mailing Address |
Po Box 489 Lake City FL 32056-0489 |
| Practice Telephone | 3867552785 |
| Practice Fax Number | 3867551128 |
| Mailing Telephone | 3867552785 |
| Mailing Fax Number | 3867551128 |
| Enumeration Date | 2007-09-15 |
| Last Update Date | 2011-03-21 |
| Authorized Official Name | DR. KARL BODENDORFER (OWNER) |
| Authorized Official Telephone | 3867552785 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | ME78478 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | DB1077 | 01 |
| FL | 001933700 | 05 |
| Street Address |
1615 SW MAIN BLVD |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881623916 | Richard W Reichert | Ophthalmology | 1615 Sw Main Blvd, Lake City, FL 32025-1108 | 2006-07-01 |
| 1225126022 | Stephanie Rowe | Optometrist | 1615 Sw Main Blvd, Lake City, FL 32025-1108 | 2006-10-10 |
| 1205947959 | Karl D Bodendorfer | Ophthalmology | 1615 Sw Main Blvd, Lake City, FL 32025-1108 | 2006-08-31 |
| 1710919170 | William Mark Avonda | Optometrist | 1615 Sw Main Blvd, Lake City, FL 32025-1108 | 2006-07-07 |
| 1437188562 | Eric Brandon Boone | Optometrist | 1615 Sw Main Blvd, Lake City, FL 32025-1108 | 2006-07-01 |
| 1902835069 | Reichert Eye Centers of N Fl, Pa | Ophthalmology | 1615 Sw Main Blvd, Lake City, FL 32025-1108 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| 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 includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124033832 | Bedoya Eye Care P A | Ophthalmology | 876 Sw State Road 247, Lake City, FL 32025-8308 | 2006-07-30 |
| 1881623916 | Richard W Reichert | Ophthalmology | 1615 Sw Main Blvd, Lake City, FL 32025-1108 | 2006-07-01 |
| 1316935885 | Stokes Regional Eye Center | Ophthalmology | 115 N Matthews Rd, Lake City, SC 29560-2309 | 2005-10-10 |
| 1629173158 | Eduardo Bedoya | Ophthalmology | 876 Sw State Road 247, Lake City, FL 32025-8308 | 2006-09-13 |
| 1205947959 | Karl D Bodendorfer | Ophthalmology | 1615 Sw Main Blvd, Lake City, FL 32025-1108 | 2006-08-31 |
| 1013924737 | Paul Kenneth Rentiers | Ophthalmology | 619 S Marion Ave, Lake City, FL 32025-5808 | 2006-08-02 |
| 1902835069 | Reichert Eye Centers of N Fl, Pa | Ophthalmology | 1615 Sw Main Blvd, Lake City, FL 32025-1108 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740888353 | Jonathan M Frantz, Md Pa | Ophthalmology | 18500 Veterans Blvd Unit 4, Port Charlotte, FL 33954-1035 | 2020-10-15 |
| 1518576818 | Specialty Eye Surgeons, Pa | Ophthalmology | 240 Ponte Vedra Boulevard, Suite 202, Ponte Vedra Beach, FL 32082 | 2020-07-23 |
| 1770191231 | Eyerad, Pllc | Ophthalmology | 6280 W Sample Road #202, Coral Springs, FL 33067-3173 | 2020-07-21 |
| 1609494566 | Eye Specialists of Mid Florida, Pa | Ophthalmology | 3350 Harden Blvd, Lakeland, FL 33803-7939 | 2020-07-08 |
| 1811511207 | Tampa Bay Ophthalmic Plastics LLC | Ophthalmology | 2963 Gulf To Bay Blvd, Ste 267, Clearwater, FL 33759-4259 | 2020-06-02 |
| 1841819166 | St. Lucie Eye Associates, M.d. P.a. | Ophthalmology | 1715 S.e Tiffany Ave., Port St. Lucie, FL 34952-7511 | 2020-04-16 |
| 1477172708 | St. Lucie Eye Associates, M.d., P.a. | Ophthalmology | 1302 S.w. St. Lucie West Blvd., Port St. Lucie, FL 34986-2109 | 2020-04-16 |
| 1598393142 | Samuel Richard Bierstock | Ophthalmology | 417 Palm Trail, Delray Beach, FL 33483 | 2020-03-30 |
| 1144858721 | Citrus Eye Care, Pa | Ophthalmology | 10549 Deerberry Dr, Land O Lakes, FL 34638-6948 | 2020-03-30 |
| 1922632066 | St Cloud Eye Center Inc | Ophthalmology | 4589 Henry C Yates Lane, Saint Cloud, FL 34769-3476 | 2020-02-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.