Marie I. Bodack, O.D.
NPI 1356310353ActiveIndividual· Optometrist· Memphis, TN
Optometrist (O.D.) in Memphis, Tennessee, trained at State University of New York - State College Optometry (class of 1998). Enrolled in Medicare as practitioner - optometry.
Overview
| NPI | 1356310353 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D. |
| Sole proprietor | No |
| NPI issued | Mar 14, 2006 |
| Last updated in NPPES | Nov 26, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 3150 | TN |
| Optometrist | 152W00000X | OPT.5605-THER | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (TN) |
|---|
Education and affiliations
| Medical school | State University of New York - State College Optometry |
|---|---|
| Graduation year | 1998 |
| Medicare specialty | Optometry |
Medical group
- Southern College of OptometryMemphis, TN · 56 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 272 optometrists in Memphis · All optometrists in Tennessee