Active NPI
Jennifer Lynn Bodley, O.D.
- Optometrist
- Tucson, AZ
National Provider Identifier
1982622643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1829
- Practice address
- 9615 E Old Spanish TRL
Tucson, AZ 85748-7540 - Phone
- (520) 546-1766
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1829 | AZ | Primary |
Addresses
Primary practice location
9615 E Old Spanish TRL
Tucson, AZ 85748-7540
Mailing address
8104 N Wayward Star Dr
Tucson, AZ 85743-7354
Phone (325) 245-7626
Other practice location 1
3699 E Broadway Blvd
Tucson, AZ 85716-5400
Phone (520) 917-0163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1829 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| You and Eye Care, PLLC | Current | Accepting new patients |
Locations
3699 E Broadway Blvd
Tucson, AZ 85716
Phone (520) 917-0117
9615 E Old Spanish Trl
Tucson, AZ 85748
Phone (520) 296-3775
Organizations & group practices 1
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.
-
- Clinic/Center
- Tucson, AZ
- NPI 1548739113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541980800000",
"number": "1982622643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8104 N WAYWARD STAR DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857437354",
"telephone_number": "325-245-7626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9615 E OLD SPANISH TRL",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857487540",
"telephone_number": "520-546-1766"
}
],
"practiceLocations": [
{
"address_1": "3699 E Broadway Blvd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857165400",
"country_code": "US",
"telephone_number": "520-917-0163",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BODLEY",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2018-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "1829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.