Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Karl D Bodendorfer, MD

Individual provider Internal Medicine Physician · NPI 1205947959

Dr. Karl D Bodendorfer, MD is an Ophthalmology in Lake City, Florida. Graduated from Pennsylvania State University College of Medicine in 1995, 31 years ago. Practices with Columbia Eye Associates PA, a 7-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
31
Trained at
Pennsylvania State University College of Medicine
Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1615 SW Main Blvd
Lake City, FL 32025-1108
Phone: (386) 755-2785
Fax: (386) 755-1128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence ME78478 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME78478 (FL)

Record details

NPI number1205947959
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Columbia Eye Associates Pa — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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