Keith A Bednarczuk in Lebanon - Optometrist
Keith A Bednarczuk - NPI 1972594257
Keith A Bednarczuk is a Optometrist in Lebanon, Ohio. Keith A Bednarczuk practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Keith A Bednarczuk is 1972594257. The last update date is 2010-08-04.
Keith A Bednarczuk's current location address is 777 Columbus Ave, Lebanon, Ohio. You can contact this provider via phone number 5139323343 and fax number 5139320078. The mailing address for Keith A Bednarczuk is 777 Columbus Ave, Lebanon, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith A Bednarczuk |
|---|---|
| Address | 777 Columbus Ave, Lebanon, Ohio |
| Phone Number | 5139323343 |
| Fax Number | 5139320078 |
| Sole Proprietor | N |
| Credentials | OD INC |
NPI Number Detail
| NPI Number | 1972594257 |
|---|---|
| Provider Enumeration Date | 2005-11-04 |
| Last Updated Date | 2010-08-04 |
Provider Mailing Address Detail
| Address | 777 Columbus Ave |
|---|---|
| City | Lebanon |
| State | Ohio (OH) |
| Post Code | 450361684 |
| Phone Number | 5139323343 |
| Fax Number | 5139320078 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 3215 T351 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 323019 | OH | -- |
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What is the unique 10-digit identifier code issued to Keith A Bednarczuk by the Centers for Medicare & Medicaid Services?
The Keith A Bednarczuk has been assigned the NPI (National Provider Identifier) 1972594257 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Keith A Bednarczuk is physically located?
The Keith A Bednarczuk is physically situated at the following address: 777 Columbus Ave, Lebanon, OH, 450361684.
What is Keith A Bednarczuk's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Keith A Bednarczuk's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.
When did Keith A Bednarczuk receive its 1972594257 assignment?
The Keith A Bednarczuk was assigned its 1972594257 on 2005-11-04, which is the date when this unique identifier was issued to the organization.
As of what date were the Keith A Bednarczuk's details last updated?
The information pertaining to the Keith A Bednarczuk, including its address, specialty, and other details, was most recently updated on 2010-08-04.