MEDICARE: CHRISTINE LYNN BOKMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	A149172	CA
2	207WX0200X	Ophthalmic Plastic and Reconstructive Surgery Physician	A149172	CA
3	207W00000X	Ophthalmology Physician	ME148682	FL
4	207WX0200X	Ophthalmic Plastic and Reconstructive Surgery Physician	ME148682	FL

General Provider Information

NPI Number	:	1710374814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE LYNN BOKMAN MD

Provider Business Mailing Address
First Line	:	12731 NEW BRITTANY BLVD
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-3632
Country	:	US
Telephone Number	:	239-418-0999
Fax Number	:	239-274-0773

Provider Business Practice Location Address
First Line	:	6600 UNIVERSITY PKWY STE 202
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34240-9041
Country	:	US
Telephone Number	:	941-254-6494
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2015
Last Update Date	:	04/14/2026

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