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Derek Bodart
Eyewear Supplier in Ocean Springs, Mississippi
NPI 1609515097

Derek Bodart is a Eyewear Supplier based in Ocean Springs, MS. Derek Bodart practices in Ocean Springs, MS. The NPI Number for Derek Bodart is 1609515097 and holds a License No. (Mississippi).

The current practice location address for Derek Bodart is 6525 Sunplex Dr, Ocean Springs, MS and can be reached out via phone at 813-928-5743.

Location: 6525 Sunplex Dr, Ocean Springs, MS, 39564-8704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609515097
Provider Name
Derek Bodart
Credential
Provider Entity Type
Individual
Gender
Male
Address
6525 Sunplex Dr, Ocean Springs, MS, 39564-8704
Phone Number
813-928-5743
Fax Number
Provider Enumeration Date
06/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6525 Sunplex Dr
City
Ocean Springs
State
Mississippi
Zip
39564-8704
Phone Number
813-928-5743
Fax Number
person
Provider Business Mailing Address Details
Address
6525 Sunplex Dr
City
Ocean Springs
State
Mississippi
Zip
39564-8704
Phone Number
813-928-5743
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
()
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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