William H Bedwell OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046007815 Issued in IL

Legal business name

WILLIAM H BEDWELL OD

Practice address

905 W Mefford
Robinson, IL 62454-1065

Phone

(618) 544-3525

Fax

(618) 544-3261

NPI assigned

Mar 3, 2008

Last updated

Feb 16, 2012By 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

William Bedwell, OD

Title

Owner/Optometrist

Phone

(618) 544-3525

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Tammy Lynn Wieties, OD

  • Optometrist
  • Robinson, IL
  • NPI 1467453993
  NPD (past)

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1760652044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 W MEFFORD",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624541065",
            "telephone_number": "618-544-3525",
            "fax_number": "618-544-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 W MEFFORD",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624541065",
            "telephone_number": "618-544-3525",
            "fax_number": "618-544-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM H BEDWELL OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "BEDWELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "618-544-3525",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01732006",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• WC- Robinson Ops, LLC (Brookstone Estates Robinson)
• Valerie Michele Weck, PH.D.
• Debbie Weger, BA
• Kristi D Weidner, ATC
• Tammy Lynn Wieties, OD
• Megan Williams, MSW, LCSW
• Michele Lynn Wright, MS OTRL
• Mahmoud A Yassin, M.D.
• Jeffrey A. Zanoni, BC - H.I.S.

• Optometrist in Robinson, IL
• Providers in Robinson, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.