Active NPI
Bruce K Bell, O. D.
- Optometrist
- Rome, GA
National Provider Identifier
1093867673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT000877
- Practice address
- 550 Redmond Rd NW
Rome, GA 30165-1416 - Phone
- (762) 235-3200
- Fax
- (706) 233-8503
- NPI assigned
- Jan 17, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT000877 | GA | Primary |
Addresses
Primary practice location
550 Redmond Rd NW
Rome, GA 30165-1416
Mailing address
221 Technology Pkwy NW
Rome, GA 30165-1369
Phone (762) 235-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000217082B | Medicaid | GA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbin Clinic, LLC | Current | Accepting new patients | |
| Bruce R. King Bell, OD, PC | Optometrist | Past | Accepting new patients |
Locations
1825 Martha Berry Blvd NW
Rome, GA 30165
Phone (706) 238-8073
221 Technology Pkwy NW
Rome, GA 30165
Phone (762) 235-1000
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548979200000",
"number": "1093867673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 TECHNOLOGY PKWY NW",
"city": "ROME",
"state": "GA",
"postal_code": "301651369",
"telephone_number": "762-235-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 REDMOND RD NW",
"city": "ROME",
"state": "GA",
"postal_code": "301651416",
"telephone_number": "762-235-3200",
"fax_number": "706-233-8503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELL",
"first_name": "BRUCE",
"middle_name": "K",
"credential": "O. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2019-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT000877",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000217082B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.