Lacey Dustin Bedoy, O.D

Primary specialty

SpecialistTaxonomy code 174400000X

License

27OAOO620000 Issued in NJ

Practice address

454 Malcolm X Blvd
New York, NY 10037-3320

Phone

(212) 368-2020

Fax

(201) 797-5809

NPI assigned

Jul 26, 2009

Last updated

Nov 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Comprehensive Medical Eye Care P.C.

  • Ophthalmology Physician
  • New York, NY
  • NPI 1952645269
  NPD (past)
• Harlem Medical P.C.

  • Ophthalmology Physician
  • New York, NY
  • NPI 1942517644
  NPD (past)

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

{
    "created_epoch": "1248566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1629208525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 MALCOLM X BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100373320",
            "telephone_number": "212-368-2020",
            "fax_number": "201-797-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 MALCOLM X BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100373320",
            "telephone_number": "212-368-2020",
            "fax_number": "201-797-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDOY",
        "first_name": "LACEY",
        "middle_name": "DUSTIN",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-26",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007642-1",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "27OAOO620000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail C Bedi, PH.D.
• Silvia Bedin
• Katherine Marie Bednarczyk, FNP-C
• Karl Thadeus Bednarek, MD
• Lisa Marie Bednarz, LCSW, ACM
• Alejandra Bedoya, CPNP
• Aline Bedrosian, PA-C
• Darren Bedrosian, LPSYA
• Scott Mitchell Bedson, P.T.
• Christie Marie Descallar Beduya, BSN, RN, CNOR

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.