MEDICARE: BIG BEAR OPTOMETRY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	10674T	CA

General Provider Information

NPI Number	:	1093061426
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIG BEAR OPTOMETRY INC

Provider Business Mailing Address
First Line	:	PO BOX 1553
Second Line	:
City	:	BIG BEAR LAKE
State	:	CA
Zip	:	92315-1553
Country	:	US
Telephone Number	:	909-866-8002
Fax Number	:	909-866-8023

Provider Business Practice Location Address
First Line	:	42002 FOX FARM ROAD
Second Line	:	SUITE 100
City	:	BIG BEAR LAKE
State	:	CA
Zip	:	92315-1553
Country	:	US
Telephone Number	:	909-866-8002
Fax Number	:	909-866-8023

Authorized Official
Title or Position	:	CEO
Name	:	DR. ANNA BEDROSSIAN
Credential	:	O.D.
Telephone Number	:	909-866-8002

Provider Enumeration Date	:	08/03/2012
Last Update Date	:	03/10/2023

Similar Medicare Providers

1609869395 — DR. ANNA BEDROSSIAN O.D.
Practice Location Address:

42002 FOX FARM RD. #100
BIG BEAR LAKE, CA
92315-1553

Practice Phone: 909-866-8002
Practice Fax: 909-866-8023

1528020955 — MICHAEL S PETERSON O.D.
Practice Location Address:

1553 E 3080 S
SALT LAKE CITY, UT
84106-3419

Practice Phone: 801-879-8721
Practice Fax:

1467476366 — MR. MICHAEL WARREN KLOBNAK JR. ATC
Practice Location Address:

300 CHURCH ST
LAKE ZURICH, IL
60047-1553

Practice Phone: 847-540-4797
Practice Fax:

1942478540 — JANNA HARTLE LLC
Practice Location Address:

1553 STONEMOOR CIR
SALT LAKE CITY, UT
84121-2515

Practice Phone: 801-274-1447
Practice Fax: 801-273-0775

1942437058 — MICHAEL S PETERSON, OD, PC
Practice Location Address:

1553 GREGSON AVE
SALT LAKE CITY, UT
84106-3419

Practice Phone: 801-879-8721
Practice Fax:

1497187405 — LAURA ANN RIERSON MOT, OTR/L
Practice Location Address:

300 CHURCH ST
LAKE ZURICH, IL
60047-1553

Practice Phone: 309-212-1831
Practice Fax:

Directions to “BIG BEAR OPTOMETRY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.