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Derek Bodart
NPI 1609515097 · on the registry since 2022 · sole proprietor
Practice
- Address
- 6525 Sunplex Dr
Ocean Springs, MS 39564 - Phone
- (813) 928-5743
- Organisation at this address
- Superior Optical Labs, Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Eyewear Supplier
332H00000X
- Sex
- Male
- Record last updated
- 2022-06-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi