Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Marie I. Bodack, OD

Individual provider Optometrist · NPI 1356310353

Dr. Marie I. Bodack, OD is an Optometry in Memphis, Tennessee. Graduated from State University of New York - State College Optometry in 1998, 28 years ago. Practices with Southern College of Optometry, a 56-clinician group and accepts Medicare assignment. Licensed in Ohio and Tennessee.

Years since qualifying
28
Trained at
State University of New York - State College Optometry
Licensed in
OH, TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1225 Madison Ave
Memphis, TN 38104-2211
Phone: (901) 722-3250
Fax: (901) 722-3347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3150 (TN)
Optometrist Taxonomy 152W00000X · Licence OPT.5605-THER (OH)

Record details

NPI number1356310353
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedMarch 14, 2006
Last updated in NPPESNovember 26, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSTATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated 1998 (28 years in practice)
Group practice Southern College Of Optometry — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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