KEITH A BEDNARCZUK OD INC
NPI 1972594257
Optometrist in Lebanon, OH

Active since November 04, 2005PECOS Enrolled
777 COLUMBUS AVE, 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: July 26, 2026.

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 1972594257) is an individual optometrist in Lebanon, Ohio, licensed in Ohio (3215 T351) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972594257
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameKEITH A BEDNARCZUKCredential: OD INC
Location Address777 COLUMBUS AVELebanon, OH 45036-1684
Mailing Address777 Columbus AveLebanon, OH 45036-1684 · (513) 932-3343 · Fax (513) 932-0078
Fax(513) 932-0078
Sole ProprietorNo
Enumeration DateNovember 4, 2005
Last NPPES UpdateAugust 4, 2010
NPI 1972594257 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

Other Identifiers 4

Medicare UPINT47063OH
Medicare PIN4292891OH
Medicaid0323019OH
Medicare NSC0540440001OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Keith A Bednarczuk Od Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45036 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Clinic/Center (Dental)
777 COLUMBUS AVE
LEBANON, OH 45036
Dentist (General Practice)
777 COLUMBUS AVE
LEBANON, OH 45036
Dentist (Prosthodontics)
777 COLUMBUS AVE
LEBANON, OH 45036
Optometrist
777 COLUMBUS AVE, SUITE 12
LEBANON, OH 45036
Counselor
777 COLUMBUS AVE, STE 1-G
LEBANON, OH 45036
Counselor (Addiction (Substance Use Disorder))
777 COLUMBUS AVE, SUITE 7-D
LEBANON, OH 45036
Counselor (Addiction (Substance Use Disorder))
777 COLUMBUS AVE
LEBANON, OH 45036
Counselor
777 COLUMBUS AVE
LEBANON, OH 45036

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 Bednarczuk's NPI number?

The NPI number for Keith Bednarczuk is 1972594257. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is Keith Bednarczuk located?

Keith Bednarczuk practices at 777 Columbus Ave, Lebanon, OH 45036. The listed phone number is (513) 932-3343.

What is Keith Bednarczuk's specialty?

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

Is Keith Bednarczuk enrolled in Medicare?

Yes. Keith Bednarczuk is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

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