OrganizationActive
Keith a Bednarczuk OD Inc
NPI 1104139807 · Optometrist · Lebanon, OH
Keith a Bednarczuk OD Inc is a Optometrist organization in Lebanon, OH (NPI 1104139807).
Provider details
- NPI number
- 1104139807
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Keith Bednarczuk, President(513) 932-3343
- License
- 3215/T351 (OH)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
777 Columbus Ave
Suite 12
Lebanon, OH 45036-1684
Phone: (513) 932-3343
Fax: (513) 932-0078
Street-level locationGet directions
Mailing address
777 Columbus Ave
Lebanon, OH 45036-1684
Registry dates
- Enumerated
- 2010-07-22
- Last updated
- 2010-08-04
Frequently asked questions
- What is Keith a Bednarczuk OD Inc's NPI number?
- Keith a Bednarczuk OD Inc's National Provider Identifier (NPI) is 1104139807, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Keith a Bednarczuk OD Inc?
- Keith a Bednarczuk OD Inc is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Keith a Bednarczuk OD Inc located?
- Keith a Bednarczuk OD Inc's practice location on file with NPPES is 777 Columbus Ave, Lebanon, OH 45036-1684.
- What is Keith a Bednarczuk OD Inc's phone number?
- The practice phone number listed in the NPPES registry for Keith a Bednarczuk OD Inc is (513) 932-3343.
- Who is the authorized official for Keith a Bednarczuk OD Inc?
- The authorized official listed on Keith a Bednarczuk OD Inc's NPPES record is Keith Bednarczuk, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Keith a Bednarczuk OD Inc's NPI active?
- Yes — Keith a Bednarczuk OD Inc's NPI (1104139807) is active in the NPPES registry as of the last update on 2010-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.