Bohdan Jemetz, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV005591-1 Issued in NY

Practice address

106 E State St
Ithaca, NY 14850-5542

Phone

(607) 272-7441

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cortland Ophthalmological Care, PLLC

  dba Cortland Eye Center

  • Ophthalmology Physician
  • Cortland, NY
  • NPI 1508952540

  Optometrist

  NPD (past)
• Dryden Optometry P.C.

  • Optometrist
  • Dryden, NY
  • NPI 1801229620
  NPD (past)
• Optivision of Ithaca Inc.

  • Optician
  • Ithaca, NY
  • NPI 1730255951
  NPD (past)
• William C Rich Jr

  • Optometrist
  • Dryden, NY
  • NPI 1518183094
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434672000000",
    "number": "1205995461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 WARNERS RD",
            "city": "WARNERS",
            "state": "NY",
            "postal_code": "131649761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E STATE ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505542",
            "telephone_number": "607-272-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEMETZ",
        "first_name": "BOHDAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2015-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005591-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS OPTOMETRIC LICENSE #",
            "identifier": "TUV005591-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lilly Jay
• Gayatri Jayaraman, MD
• Shane Clinton Jaynes, LCSWR
• Farla Jean-Louis, MD
• Kaysha Jean, M.D.
• Jessica Jenkins
• Diane S Jerdan, LCSW
• Jordan Victoria Jessop, RN
• Christopher John Jester, OD
• Samuel Jett, LMT

• Optometrist in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.