Dr. Mallory Phillips Bodford is a Olive Branch, Mississippi based female Optometrist with 10 years of experience in Optometry. She completed her graduation from Southern College Of Optometry in 2014. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Mallory Phillips Bodford is 8517T for Optometry in Texas. Dr. Mallory Phillips Bodford examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. She completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Mallory Phillips Bodford 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.
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:
1658704010
Enrollment ID:
I20191126001158
NPI Number:
1932518032
NPI Enumeration Date:
04 Aug, 2014
NPI Last Update On:
17 Feb, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mallory Phillips Bodford are as mentioned below.
License Number
Specialization
State
Status
8517T
Optometry
Texas
Primary
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 Dr. Mallory Phillips Bodford has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Horn Lake Eyecare, Pllc (4486889284)
3
Olive Branch Eyecare, Pllc (4981797297)
5
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mallory Phillips Bodford such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
05005854
Medicaid
Mississippi
966P-Y
Other
Mississippi
MISSISSIPPI STATE LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
6947 Crumpler Blvd, Olive Branch, Mississippi
Zip:
38654-1922
Phone Number:
662-893-3300
Fax Number:
662-893-3301
Patients can reach Dr. Mallory Phillips Bodford at 6947 Crumpler Blvd, Olive Branch, Mississippi or can call to book an appointment on 662-893-3300. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.