Gary Allen Bodofsky (NPI# 1639148554, PAC ID# 7517988777) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1639148554 |
PAC ID by PECOS | 7517988777 |
Professional Enrollment ID | I20120912000850 |
Full Name | Gary Allen Bodofsky |
Address |
1006 Church St A Conway SC 29526-4124 |
Phone Number | 8432485513 |
Gender | M |
Medical School | PENNSYLVANIA COLLEGE OF OPTOMETRY |
Graduation Year | 1984 |
Primary Specialty | OPTOMETRY |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
1006 Church St A, Conway, SC 29526-4124 | 8432485513 | |
2014 Hwy 17 N, Surfside Beach, SC 29575-6072 | 8432382020 |
Street Address |
1006 CHURCH ST A |
City | CONWAY |
State | SC |
Zip | 29526-4124 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kurt Klauburg | Psychiatry | 152 Waccamaw Med Park Dr, Conway, SC 29526 | |
William M Sisco | Occupational Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
Timothy J Cosgriff | Physical Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
Janet M Clifford | Physical Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
Shasta D Vance | Occupational Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
Gaylord Lee Kelley Jr. | Chiropractic | 1238 Pine St, Conway, SC 29526-3402 | |
Charles M Proctor | Ophthalmology | Vaught Eye Associates, Pa | 1404 B Main St, Conway, SC 29526-3567 |
James Monroe Vaught | Optometry | Vaught Eye Associates, Pa | 1406 Main St, Conway, SC 29526-3567 |
Charlotte L Sloan | Nurse Practitioner | Agape Senior Primary Care Inc | 1400 Main St, Conway, SC 29526-3567 |
Garett M Wise | Optometry | Vaught Eye Associates, Pa | 1406 Main St, Conway, SC 29526-3567 |
Find all physicians in zip 29526 |
City | CONWAY |
Zip Code | 29526 |
Specialty | OPTOMETRY |
City + Specialty | CONWAY + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.