Organization
WILLIAM H BEDWELL OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BEDWELL OD (OWNER/OPTOMETRIST)
(618) 544-3525
Entity
Organization
Contact information
Practice address
905 W MEFFORD, ROBINSON, IL 62454-1065
(618) 544-3525
(618) 544-3261
Mailing address
905 W MEFFORD, ROBINSON, IL 62454-1065
(618) 544-3525
(618) 544-3261
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007815
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01732006
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/03/2008
Last updated
02/16/2012
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