Active NPI
Richard Charles Bedell, O.D.
- Optometrist
- Charleston, SC
National Provider Identifier
1861443525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1487
- Practice address
- 2070 Sam Rittenberg Blvd
Charleston, SC 29407-4605 - Phone
- (843) 810-0634
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618001482 | VA | |
| Optometrist | 152W00000X | 1487 | SC | Primary |
Addresses
Primary practice location
2070 Sam Rittenberg Blvd
Charleston, SC 29407-4605
Mailing address
PO Box 1036
Isle of Palms, SC 29451-1036
Phone (843) 810-0634
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618001482 | VA | MD | Optometrist |
| 1487 | SC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637280000000",
"number": "1861443525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1036",
"city": "ISLE OF PALMS",
"state": "SC",
"postal_code": "294511036",
"telephone_number": "843-810-0634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2070 SAM RITTENBERG BLVD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074605",
"telephone_number": "843-810-0634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDELL",
"first_name": "RICHARD",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2021-11-19",
"certification_date": "2021-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618001482",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "1487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.