Individual provider Active NPI

Brittany Nicole Bodo, OD

  • Optometrist
  • Imperial, PA
National Provider Identifier
1881324002
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.007044 Issued in OH
Practice address
236 W Allegheny Rd
Imperial, PA 15126-9775
Phone
(724) 695-3371
NPI assigned
Jun 11, 2022
Last updated
Mar 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.007044 OH Primary

Addresses

Primary practice location

236 W Allegheny Rd
Imperial, PA 15126-9775

Mailing address

116 Teresa Dr
Steubenville, OH 43953-3642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220714001165 OH Practitioner - Ophthalmology 4688055254 Reassigns benefits to 1 organization
I20230616001181 PA Practitioner - Optometry 4688055254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

236 W Allegheny Rd
Imperial, PA 15126-9775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.007044OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Edward J Jagela OD Faao Professional LLC Optometrist CurrentSince Jul 18, 2022 Accepting new patients
Everett & Hurite Ophthalmic Association CurrentSince Jun 1, 2022 Accepting new patients
David C Quinn Optometrist Past Accepting new patients

Locations

4100 Johnson Rd
Ste 204
Steubenville, OH 43952
Phone (740) 283-3937

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1654905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1881324002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 TERESA DR",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439533642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 W ALLEGHENY RD",
            "city": "IMPERIAL",
            "state": "PA",
            "postal_code": "151269775",
            "telephone_number": "724-695-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODO",
        "first_name": "BRITTANY",
        "middle_name": "NICOLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-11",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Imperial, PA

Sources for this page

Verify at the official NPI Registry.