Individual provider Active NPI

Troy Lee Bedinghaus, O.D.

  • Optometrist
  • Lakewood Ranch, FL
National Provider Identifier
1831194075
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC003083 Issued in FL
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
620337000MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040122000558 FL Practitioner - Optometry 8820990682 Reassigns benefits to 1 organization

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
Troy L Bedinghaus OD PAGroup PAC ID 4587731559, 5 clinicians

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

ProcedureNumber of procedures
Cataract surgery27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC003083FLMDOptometrist
5374TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Troy L Bedinghaus OD PA Optometrist CurrentSince Dec 5, 2003 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

  • Direct secure messaging: 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

Verify at the official NPI Registry.