National Provider Identifier
Bohdan Jemetz, O.D.
Bohdan Jemetz, O.D. is listed in the NPPES registry with a primary specialty of Optometrist in Ithaca, NY and a listed phone number of (607) 272-7441.
Profile Overview
- NPI
- 1205995461
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- December 06, 2006
- Last Updated
- June 19, 2015
Practice Location
- 106 E State St
- Ithaca, NY 14850-5542
Phone: (607) 272-7441
Mailing Address
- 2941 Warners RD
- Warners, NY 13164-9761
Specialties
- Optometrist (152W00000X)
Full Record
- NPI
- 1205995461
- Entity Type
- Individual
- Last Name
- Jemetz
- First Name
- Bohdan
- Name Prefix
- Dr.
- Credential
- O.D.
- Mailing Street Address
- 2941 Warners RD
- Mailing City
- Warners
- Mailing State
- NY
- Mailing ZIP Code
- 13164-9761
- Mailing Country
- US
- Practice Street Address
- 106 E State St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5542
- Practice Country
- US
- Practice Phone
- (607) 272-7441
- Enumeration Date
- December 06, 2006
- Last Updated
- June 19, 2015
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X)
- Other Identifiers
- TUV005591-1 (NY, Nys Optometric License #)