Bodofsky, Gary

Bodofsky, Gary is an sole proprietor health care provider with primary practice located at 2014 Highway 17 N , Surfside Beach SC 29575-6072. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bodofsky, Gary can be contacted via phone (843) 238-2020.

Contact Information

Primary practice address
2014 Highway 17 N Surfside Beach SC 29575-6072
Phone: (843) 238-2020
Fax: (843) 238-4443
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 764 South Carolina

Profile Details

NPI number 1639148554
LBN Legal business name Bodofsky, Gary
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated Nov 5th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639148554 NPPES
South Carolina Other 571062888 UNITED HEALTH CARE
South Carolina Other 571062888 UNITED HEALTH CARE
South Carolina Other SC07890281 UNITED HEALTH CARE
South Carolina Other 571062888 UNITED HEALTH CARE
South Carolina MEDICAID D00764 UNITED HEALTH CARE
South Carolina Other 571062888 UNITED HEALTH CARE
South Carolina Other 571062888 UNITED HEALTH CARE

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