Individual provider Active NPI

David Bell, O.D.

  • Optometrist
  • Chesterfield, MO
National Provider Identifier
1093896185
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T03351 Issued in MO
Practice address
285 Chesterfield Mall
Chesterfield, MO 63017-4810
Phone
(636) 537-0402
NPI assigned
Oct 17, 2006
Last updated
Jul 26, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T03351 MO Primary

Addresses

Primary practice location

285 Chesterfield Mall
Chesterfield, MO 63017-4810

Mailing address

76 Mallard Pointe Dr
O Fallon, MO 63368-8312
Phone (636) 614-9751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170830000368 IL Practitioner - Optometry 1850487349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reed Eye Care Center Optometrist CurrentSince Jun 24, 2017 Accepting new patients
Luxottica Retail North America Inc Optometrist Past Accepting new patients
Pearle Vision Inc Past Accepting new patients

Locations

10900 Lincoln Trl
Fairview Hts, IL 62208
Phone (618) 398-5005

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1093896185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 MALLARD POINTE DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688312",
            "telephone_number": "636-614-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 CHESTERFIELD MALL",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174810",
            "telephone_number": "636-537-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "DAVID",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.