NPI 1205995461

Bohdan Jemetz, OD

Practitioner Optometrist Ithaca, NY

Practice location

Address: 106 E State St, Ithaca, NY 14850-5542
Phone: (607) 272-7441
Mailing address: 2941 Warners Rd, Warners, NY 13164-9761

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence TUV005591-1 (NY)

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Registry record

NPI: 1205995461
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Dec 2006
Record last updated: 19 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.