KEITH A BEDNARCZUK OD INC
NPI 1104139807
Optometrist in Lebanon, OH

Q: What is Keith A Bednarczuk Od Inc's NPI number?

The NPI number for Keith A Bednarczuk Od Inc is 1104139807. It was assigned to this organization in the NPPES registry on July 22, 2010.

Q: What is Keith A Bednarczuk Od Inc's specialty?

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

Active since July 22, 2010

777 COLUMBUS AVE, SUITE 12, LEBANON, OH 45036(513) 932-3343(513) 932-0078 Get Directions Write a Review

NPPES record last updated: August 4, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Keith A Bednarczuk Od Inc NPPES

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

KEITH A BEDNARCZUK OD INC (NPI 1104139807) is a healthcare organization registered as an optometrist in Lebanon, Ohio and active in the NPI registry since July 2010. The organization lists Keith A Bednarczuk, President, as its authorized official.

NPPES Registry Identity

NPI1104139807

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameKEITH A BEDNARCZUK OD INC

Location Address777 COLUMBUS AVE, SUITE 12Lebanon, OH 45036-1684

Mailing Address777 Columbus Ave, Suite 12Lebanon, OH 45036-1684 · (513) 932-3343 · Fax (513) 932-0078

Phone(513) 932-3343

Fax(513) 932-0078

Organization SubpartNo

Authorized OfficialKeith A BednarczukPresident · (513) 932-3343

Enumeration DateJuly 22, 2010

Last NPPES UpdateAugust 4, 2010

✔ NPI 1104139807 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 OH · 3215/T351

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.

777 COLUMBUS AVE, Lebanon, OH 45036

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Other Identifiers 2

Medicare PIN4292891OH

Medicare PIN0467061OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEBANON VISION CENTER, LLC

Optometrist

777 COLUMBUS AVE
LEBANON, OH 45036

Warren County (513) 932-3343

DANIEL REFFITT LCDC II

Counselor (Addiction (Substance Use Disorder))

777 COLUMBUS AVE, SUITE 7-D
LEBANON, OH 45036

Warren County (937) 701-3246

JENNIFER BURNSIDE LCDCIII

Counselor

777 COLUMBUS AVE
LEBANON, OH 45036

Warren County (513) 228-6590

DR. LINDA RUTH ALBRIGHT D.D.S.

Dentist (Prosthodontics)

777 COLUMBUS AVE
LEBANON, OH 45036

Warren County (513) 932-5856

AUTUMN REED BS, CDCA

Counselor (Addiction (Substance Use Disorder))

777 COLUMBUS AVE
LEBANON, OH 45036

Warren County (513) 228-6590

DELHI DENTAL ASSOC. JS BAXTER DDS INC

Clinic/Center (Dental)

777 COLUMBUS AVE
LEBANON, OH 45036

Warren County (513) 932-5856

DR. JEFFREY SUMNER BAXTER DDS

Dentist (General Practice)

777 COLUMBUS AVE
LEBANON, OH 45036

Warren County (513) 932-5856

ROGER FENN LPCC AND ASSOCIATES LLC

Counselor

777 COLUMBUS AVE, STE 1-G
LEBANON, OH 45036

Warren County (513) 932-2386

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 Keith A Bednarczuk Od Inc's NPI number?

The NPI number for Keith A Bednarczuk Od Inc is 1104139807. It was assigned to this organization in the NPPES registry on July 22, 2010.

Where is Keith A Bednarczuk Od Inc located?

Keith A Bednarczuk Od Inc is located at 777 Columbus Ave Suite 12, Lebanon, OH 45036. The listed phone number is (513) 932-3343.

What is Keith A Bednarczuk Od Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Keith A Bednarczuk Od Inc was last updated on August 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.