Bedoya Eye Care P a

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

BEDOYA EYE CARE P A

Practice address

876 SW State Road 247
Lake City, FL 32025-8308

Phone

(386) 755-7595

Fax

(386) 755-7561

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Eduardo Bedoya, MD

Title

Owner

Phone

(386) 755-7595

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1124033832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 NW WISTERIA DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554804",
            "telephone_number": "386-755-7595",
            "fax_number": "386-755-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "876 SW STATE ROAD 247",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320258308",
            "telephone_number": "386-755-7595",
            "fax_number": "386-755-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDOYA EYE CARE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "BEDOYA",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-755-7595",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002016400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael A Beardsley, P.T.
• Jeanine Beatty, MS., RD.
• Leah Marie Beaty
• Edward Deason Beck, PHARMD
• Roger Gary Beck, DPM
• Ricardo Bedoya-Garcia, MD
• Eduardo Bedoya, MD
• Patricia Bedoya, M.D.
• Begum Internal Medicine LLC
• Behavioral Learning Systems, Inc.

• Ophthalmology Physician in Lake City, FL
• Providers in Lake City, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.