Derek Bodart
Derek Bodart is an Eyewear Supplier in Ocean Springs, Mississippi. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
6525 Sunplex DrOcean Springs, MS 39564-8704
Phone: (813) 928-5743
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Eyewear Supplier (primary) | Taxonomy 332H00000X |
|---|
Record details
| NPI number | 1609515097 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 2, 2022 |
| Last updated in NPPES | June 2, 2022 |
| Certification date | June 2, 2022 |
| Mailing address | 6525 Sunplex Dr, Ocean Springs, MS 39564-8704 |
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