DR. LACEY DUSTIN BEDOY O.D NPI 1629208525

NPI Information

  • NPI: 1629208525
  • Provider Name: DR. LACEY DUSTIN BEDOY, O.D
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 454 MALCOLM X BLVD
    NEW YORK, NY
    ZIP 10037
  • Phone: (212) 368-2020

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NPI Details

DR. Lacey Dustin Bedoy, O.D is a specialist in New York, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Lacey Dustin Bedoy, O.D NPI is 1629208525. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

454 MALCOLM X BLVD
NEW YORK, NY
ZIP 10037-320
Phone: (212) 368-2020
Fax: (201) 797-5809

The NPI 1629208525 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Closure of tear duct opening using plug (HCPCS:68761)
  • Photography of the retina (HCPCS:92250)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Imaging of optic nerve (HCPCS:92133)
  • Photography of content of eyes (HCPCS:92285)
  • Exam of visual field with intermediate testing (HCPCS:92082)
  • 2d ultrasound scan of eye tissue and structures (HCPCS:76512)
  • New patient complete exam of visual system (HCPCS:92004)
  • Imaging of retina (HCPCS:92134)
  • Ultrasound scan of cornea to determine thickness (HCPCS:76514)

The enumeration date for this NPI number is 7/26/2009 and was last updated on 11/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristTUV007642-1NEW YORKNo
2174400000XSpecialist27OAOO620000NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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