Active NPI
David Bell, O.D.
- Optometrist
- Chesterfield, MO
National Provider Identifier
1093896185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T03351
- Practice address
- 285 Chesterfield Mall
Chesterfield, MO 63017-4810 - Phone
- (636) 537-0402
- NPI assigned
- Oct 17, 2006
- Last updated
- Jul 26, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170830000368 | IL | Practitioner - Optometry | 1850487349 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reed Eye Care Center | Optometrist | Current | 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.
-
- Optometrist
- Fairview Heights, IL
- NPI 1487109484
-
- Optometrist
- Mason, OH
- NPI 1891832580
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.