Individual provider Active NPI

Vanessa Bedoya, OD

  • Optometrist
  • Westbury, NY
National Provider Identifier
1245849173
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009205 Issued in NY
Practice address
157 Post Ave
Westbury, NY 11590-3460
Phone
(516) 415-2020
Fax
(516) 441-1004
NPI assigned
Jul 27, 2020
Last updated
Feb 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009205 NY Primary

Addresses

Primary practice location

157 Post Ave
Westbury, NY 11590-3460

Mailing address

737 Highview Ave
Westbury, NY 11590-6401
Phone (516) 761-1738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210601001613 NY Practitioner - Optometry 9830598457 Reassigns benefits to 2 organizations
Practice locations: Huntington Station, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

157 Post Ave
Westbury, NY 11590-3460
Phone (516) 415-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009205NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vanessa Bedoya Optometrist CurrentSince Oct 5, 2021 Accepting new patients
Dr. Lucia Patino, Optometrist, PC Optometrist CurrentSince Feb 20, 2021 Accepting new patients
Vanessa Bedoya Optometrist, P.C. Optometrist CurrentSince Dec 16, 2024 Accepting new patients
Brandon B Johnson MD PC PastSince Aug 2, 2020 Accepting new patients

Locations

124 E Jericho Tpke
Huntington Station, NY 11746
Phone (631) 351-5963

8114 Roosevelt Ave
Jackson Heights, NY 11372
Phone (718) 505-9401

8114 Roosevelt Ave
Ste 1
Jackson Heights, NY 11372

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1245849173",
    "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",
            "telephone_number": "516-761-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 POST AVE",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115903460",
            "telephone_number": "516-415-2020",
            "fax_number": "516-441-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDOYA",
        "first_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

Verify at the official NPI Registry.