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Contact Information

JESSICA L BODAMER, OD
360 E WATERFRONT DR
HOMESTEAD, PA15120-5004
 Phone: 412-464-2514
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JESSICA L BODAMER · (Female)

NPI Number 1295226215
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/24/2018
Last updated 12/26/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OH License # OPT.006633
  • PA License # OEG003516
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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