National Provider Identifier Database

DEREK BODART
Eyewear Supplier

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.


Contact Information

DEREK BODART
6525 SUNPLEX DR
OCEAN SPRINGS, MS39564-8704
Phone: 813-928-5743
Fax:
Website:
Specialty Taxonomy Code
* Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for DEREK BODART

NPI Number 1609515097
Credentials
Entity Individual
Enumeration date 06/02/2022
Last updated 06/02/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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