Columbia Eye Associates Pa

LBN: Columbia Eye Associates Pa
Columbia Eye Associates Pa is an health care organization with primary practice located at 1615 Sw Main Blvd , Lake City FL 32025-1108. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Columbia Eye Associates Pa can be contacted via phone (386) 755-2785, or through Bodendorfer, Karl via phone (386) 755-2785.

Contact Information

Primary practice address
1615 Sw Main Blvd Lake City FL 32025-1108
Phone: (386) 755-2785
Fax: (386) 755-1128
Website:
Map and Directions
Authorized official contact:
Name: Bodendorfer, Karl Doctor of Medicine (MD)
Phone: (386) 755-2785

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME78478 Florida

Profile Details

NPI number 1295921096
LBN Legal business name Columbia Eye Associates Pa
DBA Doing business as
Authorized official Bodendorfer, Karl Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2007
Last updated Mar 21st, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295921096 NPPES
Florida MEDICAID 001933700
Florida Other DB1077

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