Big Bear Optometry Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

10674T Issued in CA

Legal business name

BIG BEAR OPTOMETRY INC

Practice address

42002 Fox Farm Road
Suite 100
Big Bear Lake, CA 92315-1553

Phone

(909) 866-8002

Fax

(909) 866-8023

NPI assigned

Aug 3, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Anna Bedrossian, O.D.NPI 1609869395

Title

Ceo

Phone

(909) 866-8002

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anna Bedrossian, O.D.

  • Optometrist
  • Big Bear Lake, CA
  • NPI 1609869395
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1093061426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1553",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "923151553",
            "telephone_number": "909-866-8002",
            "fax_number": "909-866-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42002 FOX FARM ROAD",
            "address_2": "SUITE 100",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "923151553",
            "telephone_number": "909-866-8002",
            "fax_number": "909-866-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG BEAR OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "BEDROSSIAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-866-8002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10674T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Marie Biedebach, MD
• Big Bear Family Medicine
• Big Bear Family Practice Professional Corporation
• Big Bear Fire Authority
• Big Bear Lake Medical Group Inc
• Big Bear Pharmacy
• Big Bear Urgent Care Inc
• River Bilton
• Brian C. Binnie
• BK Surgical Inc

• Optometrist in Big Bear Lake, CA
• Providers in Big Bear Lake, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.