NPIMap

Organization Active NPI

Eileen J. Bell

  • Optometrist
  • El Segundo, CA
National Provider Identifier
1093992406
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8192 T Issued in CA
Legal business name
EILEEN J. BELL
Practice address
302 W Grand Ave
Suite #1
El Segundo, CA 90245-3700
Phone
(310) 414-9595
Fax
(310) 414-0137
NPI assigned
Jan 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Authorized official

Name
Dr. Eileen J. Bell, O.D.
Title
Owner / Optometrist
Phone
(310) 414-9595

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 8192 T CA Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 12119 T CA

Addresses

Primary practice location

302 W Grand Ave
Suite #1
El Segundo, CA 90245-3700

Mailing address

302 W Grand Ave
Suite #1
El Segundo, CA 90245-3700
Phone (310) 414-9595

Other identifiers 1

IdentifierTypeStateIssuer
1023191913OtherCATYPE 1 NPI

National Provider Directory

National Provider Directory

Locations

302 W Grand Ave
Ste 1
El Segundo, CA 90245
Phone (310) 414-9595

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1093992406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W GRAND AVE",
            "address_2": "SUITE #1",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902453700",
            "telephone_number": "310-414-9595",
            "fax_number": "310-414-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W GRAND AVE",
            "address_2": "SUITE #1",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902453700",
            "telephone_number": "310-414-9595",
            "fax_number": "310-414-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EILEEN J. BELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER / OPTOMETRIST",
        "authorized_official_telephone_number": "310-414-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8192 T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12119 T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1023191913",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.