Organization
KEITH A BEDNARCZUK OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH A BEDNARCZUK O.D. (PRESIDENT)
(513) 932-3343
Entity
Organization
Contact information
Practice address
777 COLUMBUS AVE, SUITE 12, LEBANON, OH 45036-1684
(513) 932-3343
(513) 932-0078
Mailing address
777 COLUMBUS AVE, SUITE 12, LEBANON, OH 45036-1684
(513) 932-3343
(513) 932-0078
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3215/T351
OH
Other
Enumeration date
07/22/2010
Last updated
08/04/2010
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