KEITH A BEDNARCZUK (NPI# 1972594257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972594257 |
| Entity Type | Individual |
| Full Name | KEITH A BEDNARCZUK |
| Credential | OD INC |
| Practice Address |
777 Columbus Ave Lebanon OH 45036-1684 |
| Practice Telephone | 5139323343 |
| Practice Fax Number | 5139320078 |
| Mailing Telephone | 5139323343 |
| Mailing Fax Number | 5139320078 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2010-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3215 T351 | OH | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0323019 | 05 |
| Street Address |
777 COLUMBUS AVE |
| City | LEBANON |
| State | OH |
| Zip Code | 45036-1684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902435332 | Melissa Sue Milbower | Registered Nurse | 777 Columbus Ave, Lebanon, OH 45036-1684 | 2020-04-07 |
| 1417414962 | Jennifer Burnside | Counselor | 777 Columbus Ave, Lebanon, OH 45036-1684 | 2019-02-20 |
| 1538656426 | Autumn Reed | Counselor | 777 Columbus Ave, Lebanon, OH 45036-1684 | 2018-04-17 |
| 1336673615 | Daniel Reffitt | Counselor | 777 Columbus Ave, Suite 7-d, Lebanon, OH 45036 | 2017-04-13 |
| 1104139807 | Keith A Bednarczuk Od Inc | Optometrist | 777 Columbus Ave, Suite 12, Lebanon, OH 45036-1684 | 2010-07-22 |
| 1699913517 | Roger Fenn Lpcc and Associates LLC | Counselor | 777 Columbus Ave, Ste 1-g, Lebanon, OH 45036-1682 | 2009-01-30 |
| 1457558066 | Linda Ruth Albright | Dentist | 777 Columbus Ave, Lebanon, OH 45036-1684 | 2007-06-27 |
| 1447386693 | Roger G. Fenn | Counselor | 777 Columbus Ave, Ste 1-g, Lebanon, OH 45036-1682 | 2007-02-24 |
| 1689749988 | Jeffrey Sumner Baxter | Dentist | 777 Columbus Ave, Lebanon, OH 45036-1684 | 2006-11-21 |
| 1548334600 | Delhi Dental Assoc. Js Baxter Dds Inc | Clinic/Center | 777 Columbus Ave, Lebanon, OH 45036-1684 | 2006-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205479458 | Natasha Denney Arentz | Nurse Practitioner | 5787 Oh-63, Lebanon, OH 45036 | 2019-10-21 |
| 1265086573 | Eric Stone | Counselor | 5234 Oh-63, Lebanon, OH 45036 | 2019-07-25 |
| 1548730401 | Crystal Prater | Counselor | 5234 W Sr 63, Lebanon, OH 45036 | 2018-12-04 |
| 1922574284 | Ellen L Fink | Counselor | 5234 Sr 63, Lebanon, OH 45036 | 2018-10-15 |
| 1255832275 | Primary Care Partners of Ohio | Family Medicine | 726 E Main St Ste F205, Lebanon, OH 45036 | 2018-02-25 |
| 1548769599 | Chelsea R Perkins | Case Manager/Care Coordinator | 975 Kingsview Drive Bldg B, Lebanon, OH 45036 | 2018-02-06 |
| 1184133829 | Mary Bennett | Speech-Language Pathologist | 6760 Oh St Rt. 34, Lynchburg, OH 45036 | 2017-09-26 |
| 1699292912 | Robert Earl Offutt | Counselor | 5234 State Rt.63, Lebanon, OH 45036 | 2017-08-28 |
| 1407381528 | Kari Bump | Counselor | 320 E Silver St, Lebanon, OH 45036 | 2017-04-26 |
| 1154780435 | Ohio Department of Rehabilitation and Correction | Public Health or Welfare | State Route 63, Lebanon, OH 45036 | 2016-02-16 |
| Find all providers in zip 45036 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639731250 | Caitlin Squires | Optometrist | 90 Market St Ste 20, Lebanon, OR 97355-2396 | 2019-07-03 |
| 1083100424 | Myeyedr Optometry of Indiana, LLC | Optometrist | 2705 N Lebanon St Ste 230, Lebanon, IN 46052-8627 | 2018-07-09 |
| 1184118747 | Brian Swoyer | Optometrist | 758 Cumberland St, Lebanon, PA 17042-5247 | 2018-06-18 |
| 1841727286 | Tyler Ross Boone | Optometrist | 404 N Castle Heights Ave Ste A, Lebanon, TN 37087-1512 | 2017-05-16 |
| 1104255942 | Eyecare Indiana | Optometrist | 1202 N Lebanon St, Lebanon, IN 46052-1510 | 2013-11-02 |
| 1407160120 | Mascoma Eyecare | Optometrist | 24 Hanover Street, Suite 3a, Lebanon, NH 03766-1334 | 2010-08-05 |
| 1063654838 | Independence Corporation | Optometrist | 905 E Cumberland St, Lebanon, PA 17042-8102 | 2009-03-25 |
| 1316078868 | Michael Montgomery Od PC | Optometrist | 279 E Elm, Lebanon, MO 65536 | 2007-03-08 |
| 1659407989 | Melissa Sue Kerby | Optometrist | 1001 Monroe Rd, Lebanon, OH 45036-1414 | 2007-02-23 |
| 1144378480 | William Grant IIi | Optometrist | 19595 Houston Rd, Lebanon, MO 65536-8252 | 2007-01-05 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.