Eduardo Bedoya, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME81531 Issued in FL

Practice address

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

Phone

(386) 755-7595

Fax

(386) 755-7561

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Ophthalmology

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/K8KD7A7C
• FHIR API: https://73a16b75-76ae-4370-af3f-78876c5948e6.gastro.prod.fhir.ema-api.com/fhir/r4/

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

• Columbia Eye Associates PA

  • Ophthalmology Physician
  • Lake City, FL
  • NPI 1295921096
  NPD (past)
• Lake City Outpatient Anesthesia PLLC

  • Anesthesiology Physician
  • Lake City, FL
  • NPI 1316171010
  NPD (past)
• Reichert Eye Centers of N FL, PA

  dba dba Family Focus Eye Care

  • Ophthalmology Physician
  • Lake City, FL
  • NPI 1902835069
  NPD (past)
• Britton Vision Associates Inc

  dba BVA Advanced Eyecare and Retina Vitreous Affiliates

  • Ophthalmology Physician
  • Edmond, OK
  • NPI 1427051408
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1629173158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "last_name": "BEDOYA",
        "first_name": "EDUARDO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME81531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260566000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Marie Beaty
• Edward Deason Beck, PHARMD
• Roger Gary Beck, DPM
• Bedoya Eye Care P a
• Ricardo Bedoya-Garcia, MD
• Patricia Bedoya, M.D.
• Begum Internal Medicine LLC
• Behavioral Learning Systems, Inc.
• Crystal Bell
• Desma Leslie Bell

• 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 Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.