Individual provider Active NPI

Wade Erwin Bellflower, O.D.

  • Optometrist
  • Hampton, VA
National Provider Identifier
1174858369
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001902 Issued in VA
Practice address
208 Fox Hill Rd
Hampton, VA 23669-1758
Phone
(757) 850-1640
NPI assigned
Oct 6, 2009
Last updated
Feb 23, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001902 VA Primary

Addresses

Primary practice location

208 Fox Hill Rd
Hampton, VA 23669-1758

Mailing address

208 Fox Hill Rd
Hampton, VA 23669-1758
Phone (757) 850-1640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20121024000147 VA Practitioner - Optometry 0840440095 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Virginia Professional PLLCGroup PAC ID 1456898782, 12 clinicians
Sight 2 See Optometry PLLCGroup PAC ID 9931359189, 3 clinicians

Practice addresses (Care Compare)

1074 W Mercury Blvd
Hampton, VA 23666-3380
Phone (757) 850-1640

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sight 2 See Optometry PLLC Optometrist CurrentSince Sep 1, 2012 Accepting new patients

Locations

1074 W Mercury Blvd
Hampton, VA 23666
Phone (757) 850-1640

208 Fox Hill Rd
Hampton, VA 23669
Phone (757) 850-0500

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, 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": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1174858369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 FOX HILL RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236691758",
            "telephone_number": "757-850-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 FOX HILL RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236691758",
            "telephone_number": "757-850-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLFLOWER",
        "first_name": "WADE",
        "middle_name": "ERWIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-06",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.