BODENHAMER EYE CONSULTANTS, LLC
NPI 1679903330
Optometrist - Corneal and Contact Management in Jefferson City, MO

Active since November 17, 2013
3238 W TRUMAN BLVD, UPPER LEVEL, JEFFERSON CITY, MO 65109(573) 635-2020(573) 635-7840 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 10, 2022, Jan 16, 2017 (2 updates tracked since 2017).

About Bodenhamer Eye Consultants, Llc NPPES

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

BODENHAMER EYE CONSULTANTS, LLC (NPI 1679903330) is a healthcare organization registered as a corneal and contact management in Jefferson City, Missouri and active in the NPI registry since November 2013. The organization lists Bret B Bodenhamer, Provider, as its authorized official.

NPPES Registry Identity

NPI1679903330
Entity TypeOrganization
Primary Taxonomy152WC0802X
Legal Business NameBODENHAMER EYE CONSULTANTS, LLC
Location Address3238 W TRUMAN BLVD, UPPER LEVELJefferson City, MO 65109-5708
Mailing Address3238 W Truman Blvd, Upper LevelJefferson City, MO 65109-5708 · (573) 635-2020 · Fax (573) 635-7840
Fax(573) 635-7840
Organization SubpartNo
Authorized OfficialBret B BodenhamerProvider · (573) 635-2020
Enumeration DateNovember 17, 2013
Last NPPES UpdateJanuary 10, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2022
✔ NPI 1679903330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
Licenses✔ Licensed in MO · TO2261✔ Licensed in MO · 2010026679
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 2007018327 (MO)
3238 W TRUMAN BLVD, Jefferson City, MO 65109

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bodenhamer Eye Consultants, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMissouriEnrollment IDO20140513001654DME · Physician - OptometristDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Bodenhamer Eye Consultants, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Optometry
NPI 1134255243
3238 WEST TRUMAN BOULEVARD
Jefferson City, MO 65109
(573) 635-2020
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1093492407
3238 W TRUMAN BLVD
Jefferson City, MO 65109
(573) 635-2020
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1679887384
3238 W TRUMAN BLVD
Jefferson City, MO 65109
(573) 635-2020
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Bodenhamer Eye Consultants, LLC carries, from the Medicare DMEPOS supplier directory.

Bodenhamer Eye Consultants, LLC

DMEPOS supplier · Jefferson City, MO
✔

Accepts Medicare assignment

Bodenhamer Eye Consultants, LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20510495
Medicare Participant SinceDecember 2, 2013
Supplier Location3238 W Truman Blvd Uppr LevelJefferson City, MO 65109
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Bodenhamer Eye Consultants, LLC's NPI number?

The NPI number for Bodenhamer Eye Consultants, LLC is 1679903330. It was assigned to this organization in the NPPES registry on November 17, 2013.

Where is Bodenhamer Eye Consultants, LLC located?

Bodenhamer Eye Consultants, LLC is located at 3238 W Truman Blvd Upper Level, Jefferson City, MO 65109. The listed phone number is (573) 635-2020.

What is Bodenhamer Eye Consultants, LLC's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Bodenhamer Eye Consultants, LLC enrolled in Medicare?

Yes. Bodenhamer Eye Consultants, LLC is registered in the Medicare PECOS enrollment system.

When is Bodenhamer Eye Consultants, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Missouri, Physician - Optometrist) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Bodenhamer Eye Consultants, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Bodenhamer Eye Consultants, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bodenhamer Eye Consultants, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Bodenhamer Eye Consultants, LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Bodenhamer Eye Consultants, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Bodenhamer Eye Consultants, LLC 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 Bodenhamer Eye Consultants, LLC was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.