BIG BEAR OPTOMETRY INC
NPI 1093061426
Optometrist in Big Bear Lake, CA

Q: What is Big Bear Optometry Inc's NPI number?

The NPI number for Big Bear Optometry Inc is 1093061426. It was assigned to this organization in the NPPES registry on August 3, 2012.

Q: What is Big Bear Optometry Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since August 03, 2012

42002 FOX FARM ROAD, SUITE 100, BIG BEAR LAKE, CA 92315(909) 866-8002(909) 866-8023 Get Directions Write a Review

NPPES record last updated: March 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Big Bear Optometry Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BIG BEAR OPTOMETRY INC (NPI 1093061426) is a healthcare organization registered as an optometrist in Big Bear Lake, California and active in the NPI registry since August 2012. The organization lists Anna Bedrossian, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093061426

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameBIG BEAR OPTOMETRY INC

Location Address42002 FOX FARM ROAD, SUITE 100Big Bear Lake, CA 92315-1553

Mailing AddressPo Box 1553Big Bear Lake, CA 92315-1553 · (909) 866-8002 · Fax (909) 866-8023

Phone(909) 866-8002

Fax(909) 866-8023

Organization SubpartNo

Authorized OfficialAnna BedrossianCeo · (909) 866-8002

Enumeration DateAugust 3, 2012

Last NPPES UpdateMarch 10, 2023

NPPES CertifiedMarch 10, 2023

✔ NPI 1093061426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CA · 10674T

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 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.

42002 FOX FARM ROAD, Big Bear Lake, CA 92315

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Big Bear Optometry Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Big Bear Optometry Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Anna Bedrossian, O.D.

Optometry

NPI 1609869395

42002 FOX FARM RD. #100
Big Bear Lake, CA 92315

(909) 866-8002

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Big Bear Optometry Inc's NPI number?

The NPI number for Big Bear Optometry Inc is 1093061426. It was assigned to this organization in the NPPES registry on August 3, 2012.

Where is Big Bear Optometry Inc located?

Big Bear Optometry Inc is located at 42002 Fox Farm Road Suite 100, Big Bear Lake, CA 92315. The listed phone number is (909) 866-8002.

What is Big Bear Optometry Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Big Bear Optometry Inc enrolled in Medicare?

Yes. Big Bear Optometry Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Big Bear Optometry Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Big Bear Optometry Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Big Bear Optometry Inc was last updated on March 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.