Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keith a Bednarczuk OD Inc

Organization Optometrist · NPI 1104139807

Keith a Bednarczuk OD Inc is an Optometrist in Lebanon, Ohio. Licensed in Ohio. Registered with an NPI since 2010.

Licensed in
OH
In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

777 Columbus Ave Ste 12
Lebanon, OH 45036-1684
Phone: (513) 932-3343
Fax: (513) 932-0078
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3215/T351 (OH)

Record details

NPI number1104139807
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keith Bednarczuk — President · (513) 932-3343
NPI enumeratedJuly 22, 2010
Last updated in NPPESAugust 4, 2010
Mailing address777 Columbus Ave, Suite 12, Lebanon, OH 45036-1684

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