Bodack, Marie I.

Bodack, Marie I. is an individual health care provider with primary practice located at 1225 Madison Ave , Memphis TN 38104-2211. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Bodack, Marie I. can be contacted via phone (901) 722-3250.

Contact Information

Primary practice address
1225 Madison Ave Memphis TN 38104-2211
Phone: (901) 722-3250
Fax: (901) 722-3347
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT.5605-THER Ohio
Eye and Vision Services Providers / Optometrist 152W00000X 3150 Tennessee

Profile Details

NPI number 1356310353
LBN Legal business name Bodack, Marie I.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Nov 26th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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