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Dr. Bohdan Jemetz, O.D.

Optometrist in Ithaca, NY. Individual provider (NPI-1).

NPI number1205995461
StatusActive
Last updated in NPPESJun 19, 2015

Details

NPI
1205995461
Entity type
Individual (NPI-1)
Name
Dr. Bohdan Jemetz
Credential
O.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 6, 2006
Last updated
Jun 19, 2015

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristTUV005591-1NYYes

Practice location

106 E State St
Ithaca, NY 14850-5542

Phone 607-272-7441

Mailing address

2941 Warners Rd
Warners, NY 13164-9761

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Optometrist providers in Ithaca, NY

All 20 Optometrist providers in Ithaca · All 2,555 providers in Ithaca

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