Keith A Bednarczuk, OD INC

NPI #1972594257 in Lebanon, Ohio

Provider Information

NPI Number: 1972594257
Entity Type: Individual
Name: Keith A Bednarczuk, OD INC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD INC
Enumeration Date: Nov 4, 2005
Last Updated: Aug 4, 2010

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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