Fred S Bodker is a Overland Park, Kansas based male Ophthalmic Plastic and Re-constructive Surgeon with 35 years of experience in Ophthalmic Plastic and Reconstructive Surgery. He completed his graduation from Johns Hopkins University School Of Medicine in 1990. He is also affiliated with hospitals like Adventhealth Shawnee Mission. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Fred S Bodker is 04-25774 for Ophthalmic Plastic and Reconstructive Surgery in Kansas. Fred S Bodker specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
Complete Profile:
Fred S Bodker speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Ophthalmic Plastic and Reconstructive Surgery
Credentials:
MD
Experience:
35+ years
Medical School Attended:
Johns Hopkins University School Of Medicine
Graduation Year:
1990
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
7504 Antioch Rd, Overland Park, Kansas, 66204-2622
Phone:
913-341-3100
Fax:
913-341-6818
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8628041902
Enrollment ID:
I20100119000474
NPI Number:
1417944208
NPI Enumeration Date:
05 Oct, 2005
NPI Last Update On:
03 Feb, 2025
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fred S Bodker are as mentioned below.
License Number
Specialization
State
Status
04-25774
Ophthalmic Plastic and Reconstructive Surgery
Kansas
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Adventhealth Shawnee Mission (170104)
Shawnee mission, KS
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Fred S Bodker has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Kansas City Eye Clinic, P.a. (0143206102)
8
Other Medical Identifiers:
Other legacy medical identifiers associated with Fred S Bodker such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
180022395
Other
RAILROAD MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 803861, Kansas City, Missouri
Zip:
64180-3861
Phone Number:
913-341-3100
Fax Number:
913-341-6818
Patients can reach Fred S Bodker at 7504 Antioch Rd, Overland Park, Kansas or can call to book an appointment on 913-341-3100. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.