Individual provider · Type 1 NPI

Fred S. Bodker, MD

Ophthalmic Plastic and Reconstructive Surgery Physician · Overland Park, KS

NPI number 1417944208 Active

Practice location

7504 Antioch Rd
Overland Park, KS 66204-2622

Fax (913) 341-6818

Mailing address

PO Box 803861
Kansas City, MO 64180-3861

Specialties and licenses

TaxonomyCodeLicense
Ophthalmic Plastic and Reconstructive Surgery Physician Primary 207WX0200X04-25774 (KS)

Ophthalmic Plastic and Reconstructive Surgery Physician: A physician who 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 struc…

10 other providers at this address

About NPI 1417944208

Fred S. Bodker, MD's National Provider Identifier is 1417944208, issued on Oct 5, 2005. The primary taxonomy on file is Ophthalmic Plastic and Reconstructive Surgery Physician (207WX0200X), and the practice location is in Overland Park, KS. The record was last updated on Feb 3, 2025.