Keith a Bednarczuk Od INC

NPI #1104139807 in Lebanon, Ohio

Provider Information

NPI Number: 1104139807
Entity Type: Organization
Organization Name: Keith a Bednarczuk Od INC
Primary Specialty: Optometrist
Enumeration Date: Jul 22, 2010
Last Updated: Aug 4, 2010

Practice Location

Address: 777 COLUMBUS AVE
Address 2: SUITE 12
City: Lebanon
State: Ohio
ZIP Code: 45036-1684
Phone: (513) 932-3343

Authorized Official

Name: DR. KEITH A BEDNARCZUK, O.D.
Title: PRESIDENT
Phone: (513) 932-3343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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