Keith A Bednarczuk, OD INC | |
777 Columbus Ave, Lebanon, OH 45036-1684 | |
(513) 932-3343 | |
(513) 932-0078 |
Full Name | Keith A Bednarczuk |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 777 Columbus Ave, Lebanon, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972594257 | NPI | - | NPPES |
0323019 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3215 T351 (Ohio) | Primary |
Provider Name | Keith A Bednarczuk Od Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1104139807 PECOS PAC ID: 4385777408 Enrollment ID: O20100727000014 |
Mailing Address | Practice Location Address |
---|---|
Keith A Bednarczuk, OD INC 777 Columbus Ave, Lebanon, OH 45036-1684 Ph: (513) 932-3343 | Keith A Bednarczuk, OD INC 777 Columbus Ave, Lebanon, OH 45036-1684 Ph: (513) 932-3343 |
Lebanon Vision Center, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 777 Columbus Ave, Lebanon, OH 45036 Phone: 513-932-3343 Fax: 216-365-6403 | |
Tracy Heffron Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1530 Walmart Dr, Lebanon, OH 45036 Phone: 513-932-2993 | |
Thomas B Dankworth Od Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 600 Mound Ct, Lebanon, OH 45036 Phone: 513-932-5965 | |
Keith A Bednarczuk Od Inc Optometrist Medicare: Medicare Enrolled Practice Location: 777 Columbus Ave, Suite 12, Lebanon, OH 45036 Phone: 513-932-3343 Fax: 513-932-0078 | |
Village Eye Care, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1001 Monroe Rd, Lebanon, OH 45036 Phone: 513-934-2020 Fax: 513-934-2028 | |
Thomas B. Dankworth, O.d., Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 600 Mound Ct, Lebanon, OH 45036 Phone: 513-932-5965 Fax: 513-932-2650 | |
Clarkson Optometry Midwest Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1001 Monroe Rd, Lebanon, OH 45036 Phone: 513-934-2020 Fax: 513-934-2028 |