Active NPI
Vanessa Bedoya
- Optometrist
- Huntington Station, NY
National Provider Identifier
1083386783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- VANESSA BEDOYA
- Practice address
- 124 E Jericho Tpke
Huntington Station, NY 11746-7324 - Phone
- (631) 351-5963
- Fax
- (631) 271-2575
- NPI assigned
- Sep 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vanessa Bedoya, OD
- Title
- Optometrist
- Phone
- (516) 761-1738
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
124 E Jericho Tpke
Huntington Station, NY 11746-7324
Mailing address
737 Highview Ave
Westbury, NY 11590-6401
Other names 1
- Bedoya Eye Care
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Westbury, NY
- NPI 1245849173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632960000000",
"number": "1083386783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 HIGHVIEW AVE",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115906401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 E JERICHO TPKE",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "117467324",
"telephone_number": "631-351-5963",
"fax_number": "631-271-2575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VANESSA BEDOYA",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-30",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A",
"authorized_official_last_name": "BEDOYA",
"authorized_official_first_name": "VANESSA",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "516-761-1738",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bedoya Eye Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Huntington Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.