Anne K Bedford OD Inc PS

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00001631 Issued in WV

Legal business name

ANNE K BEDFORD OD INC PS

Doing business as

South Beach Vision Clinic

Practice address

723 N Montesano St
Westport, WA 98595-9730

Phone

(360) 268-1114

Fax

(360) 268-1114

NPI assigned

Jun 19, 2007

Last updated

Feb 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anne Kristine Bedford, ODNPI 1093898835

Title

Owner

Phone

(360) 268-1114

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• South Beach Vision Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anne K Bedford, OD

  • Optometrist
  • Westport, WA
  • NPI 1093898835
  NPD Authorized official

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1275738338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 N MONTESANO ST",
            "city": "WESTPORT",
            "state": "WA",
            "postal_code": "985959730",
            "telephone_number": "360-268-1114",
            "fax_number": "360-268-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 N MONTESANO ST",
            "city": "WESTPORT",
            "state": "WA",
            "postal_code": "985959730",
            "telephone_number": "360-268-1114",
            "fax_number": "360-268-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE K BEDFORD OD INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "BEDFORD",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "KRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-268-1114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "OD00001631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410018817",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Beach Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lana Diane Adams, PTA
• Beach Clinic Inc P S
• Anne K Bedford, OD
• Margery Roxane Dela Cruz
• Laurie L Deranleau, RND
• Rebecca Dornbush, PTA

• Optometrist in Westport, WA
• Providers in Westport, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.