Active NPI
Troy Lee Bedinghaus, O.D.
- Optometrist
- Lakewood Ranch, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC003083
- Practice address
- 11151 E State Road 70
Lakewood Ranch, FL 34202-8405 - Phone
- (941) 739-5959
- Fax
- (941) 756-1925
- NPI assigned
- Jun 15, 2005
- Last updated
- Apr 15, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5374T | TX | |
| Corneal and Contact Management Optometrist | 152WC0802X | OPC003083 | FL | |
| Pediatric Optometrist | 152WP0200X | OPC003083 | FL | |
| Optometrist | 152W00000X | OPC003083 | FL | Primary |
Addresses
Primary practice location
11151 E State Road 70
Lakewood Ranch, FL 34202-8405
Mailing address
11151 E State Road 70
Lakewood Ranch, FL 34202-8405
Phone (941) 739-5959
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620337000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11151 State Rd 70
Vision Source Lakewood Ranch
Lakewood Ranch, FL 34202-8405
Phone (941) 739-5959
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 27 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC003083 | FL | MD | Optometrist |
| 5374T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Troy L Bedinghaus OD PA | Optometrist | Current | Accepting new patients |
| MCR Health, Inc. | Optometrist | Past | Accepting new patients |
Locations
11151 State Road 70 E
Lakewood Ranch, FL 34202
Phone (941) 739-5959
10940 State Road 70 E
Ste 103
Lakewood Ranch, FL 34202
Phone (941) 243-3088
10060 US Highway 301 N
Parrish, FL 34219
Phone (941) 739-5959
Interoperability endpoints
- troybedinghausod@vslakewoodranch.direct.kno2fy.com
Organizations & group practices 2
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": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460678400000",
"number": "1831194075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11151 E STATE ROAD 70",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342028405",
"telephone_number": "941-739-5959",
"fax_number": "941-756-1925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11151 E STATE ROAD 70",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342028405",
"telephone_number": "941-739-5959",
"fax_number": "941-756-1925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDINGHAUS",
"first_name": "TROY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-15",
"last_updated": "2016-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "5374T",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "FL",
"license": "OPC003083",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "FL",
"license": "OPC003083",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC003083",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "620337000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood Ranch, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.