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COLUMBIA EYE ASSOCIATES PA
NPI 1295921096
Ophthalmology in Lake City, FL

Active since September 15, 2007CLIA 10D2284846 · Waiver
1615 SW MAIN BLVD, LAKE CITY, FL 32025(386) 755-2785(386) 755-1128 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Columbia Eye Associates Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLUMBIA EYE ASSOCIATES PA (NPI 1295921096) is a healthcare organization registered as an ophthalmology in Lake City, Florida and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through June 28, 2027 and lists Karl Bodendorfer, Owner, as its authorized official.

NPPES Registry Identity

NPI1295921096
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameCOLUMBIA EYE ASSOCIATES PA
Location Address1615 SW MAIN BLVDLake City, FL 32025-1108
Mailing AddressPo Box 489Lake City, FL 32056-0489 · (386) 755-2785 · Fax (386) 755-1128
Phone(386) 755-2785
Fax(386) 755-1128
Organization SubpartNo
Authorized OfficialKarl BodendorferOwner · (386) 755-2785
Enumeration DateSeptember 15, 2007
Last NPPES UpdateApril 10, 2025
NPPES CertifiedApril 10, 2025
✔ NPI 1295921096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in FL · ME78478
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1615 SW MAIN BLVD, Lake City, FL 32025
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Other Identifiers 2

OtherDB1077FL · Railroad Medicare
Medicaid001933700FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2284846

Columbia Eye Associates PA · Lake City, FL
Active · expires Jun 28, 2027
CLIA Number10D2284846
Laboratory TypePhysician Office
Certificate Effective DateJune 29, 2025
Certificate Expiration DateJune 28, 2027
Laboratory DirectorKarl D. Bodendorfer
Laboratory Phone(386) 755-2785
Laboratory LocationColumbia Eye Associates PA1615 SW Main Blvd, Lake City, FL 32025
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY SHENOUDA M.D.
Ophthalmology
1615 SW MAIN BLVD
LAKE CITY, FL 32025
Columbia County (386) 755-2785
DR. KARL D BODENDORFER MD
Ophthalmology
1615 SW MAIN BLVD
LAKE CITY, FL 32025
Columbia County (386) 755-2785
DR. CHASIDY DIONNE SINGLETON M.D.
Ophthalmology
1615 SW MAIN BLVD
LAKE CITY, FL 32025
Columbia County (386) 755-2785
CHARLES P SWEENEY M.D.
Ophthalmology
1615 SW MAIN BLVD
LAKE CITY, FL 32025
Columbia County (386) 755-2785
ERIC BRANDON BOONE O.D.
Optometrist
1615 SW MAIN BLVD
LAKE CITY, FL 32025
Columbia County (386) 755-2785
WILLIAM MARK AVONDA O.D.
Optometrist
1615 SW MAIN BLVD
LAKE CITY, FL 32025
Columbia County (386) 755-2785
RICHARD W REICHERT M.D.
Ophthalmology
1615 SW MAIN BLVD
LAKE CITY, FL 32025
Columbia County (386) 755-2785
DR. AKIL NGOZI HINDS MBBS, MBA
Ophthalmology
1615 SW MAIN BLVD
LAKE CITY, FL 32025
Columbia County (386) 755-2785

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Columbia Eye Associates PA's NPI number?

The NPI number for Columbia Eye Associates PA is 1295921096. It was assigned to this organization in the NPPES registry on September 15, 2007.

Where is Columbia Eye Associates PA located?

Columbia Eye Associates PA is located at 1615 SW Main Blvd, Lake City, FL 32025. The listed phone number is (386) 755-2785.

What is Columbia Eye Associates PA's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Columbia Eye Associates PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2284846) is associated with this NPI, valid through June 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Columbia Eye Associates PA accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and BlueCross BlueShield of Tennessee and 4 other insurers list Columbia Eye Associates PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Columbia Eye Associates PA was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.