Jessica Lynn Bodamer, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG003516 Issued in PA

Practice address

360 E Waterfront Dr
Homestead, PA 15120-5004

Phone

(412) 464-2514

NPI assigned

May 24, 2018

Last updated

Dec 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ms Vision Care LLCGroup PAC ID 4981999240, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Ms Vision Care, LLC

  • Optometrist
  • Cranberry Township, PA
  • NPI 1467800839
  Medicare reassignment Care Compare group NPD
• Independent Lab Services

  • Clinical Medical Laboratory
  • Youngstown, OH
  • NPI 1114329109
  NPD (past)
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)
• Ohio Eye Alliance, Inc.

  • Ophthalmology Physician
  • Alliance, OH
  • NPI 1912974825
  NPD (past)

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1295226215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 42ND ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15201",
            "telephone_number": "330-519-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E WATERFRONT DR",
            "city": "HOMESTEAD",
            "state": "PA",
            "postal_code": "151205004",
            "telephone_number": "412-464-2514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "985 S Sawburg Ave",
            "address_purpose": "LOCATION",
            "city": "Alliance",
            "state": "OH",
            "postal_code": "446013515",
            "country_code": "US",
            "telephone_number": "330-823-1680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Mill Ave SE",
            "address_purpose": "LOCATION",
            "city": "New Philadelphia",
            "state": "OH",
            "postal_code": "44663",
            "country_code": "US",
            "telephone_number": "330-339-8788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BODAMER",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006633",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stanley D Bosta, DPM
• Susan Marie Brecko, PT
• Sheila Margaret Brennen, MSW, LSW

• Optometrist in Homestead, PA
• Providers in Homestead, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.