Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK BODART
Active Sole ProprietorDEREK BODART is a Eyewear Supplier healthcare provider located in OCEAN SPRINGS, Mississippi. NPI 1609515097 is currently active in the NPPES registry. Verify at CMS.
Eyewear Supplier · OCEAN SPRINGS, MS
Registration Details
- NPI Number
- 1609515097
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 2, 2022 (4.2100529596952 yrs)
- Last Updated
- Jun 2, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
6525 SUNPLEX DROCEAN SPRINGS, MS, 395648704Browse MS providers · Browse ZIP 39564
- Phone
- 8139285743
- Primary Specialty
-
Eyewear Supplier
332H00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.