Individual provider Active NPI

Ian Anthony Bellard, O.D.

  • Optometrist
  • Pensacola, FL
National Provider Identifier
1255955779
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5810 Issued in FL
Practice address
113 Palafox PL
Pensacola, FL 32502-5629
Phone
(850) 434-2060
Fax
(850) 434-1830
NPI assigned
Jun 1, 2020
Last updated
Jun 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5810 FL Primary

Addresses

Primary practice location

113 Palafox PL
Pensacola, FL 32502-5629

Mailing address

4335 Devereux Dr
Pensacola, FL 32504-7851
Phone (850) 221-6112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200715001186 FL Practitioner - Optometry 4789007360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bell and Terrezza O.D., P.a.Group PAC ID 5092069229, 6 clinicians

Practice addresses (Care Compare)

113 Palafox PL
Pensacola, FL 32502-5629
Phone 8504342060213

800 N Fairfield Dr
Pensacola, FL 32506-4313
Phone (850) 453-5059

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5810FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gene Terrezza OD and Associates PA Optometrist Current Accepting new patients
Bell & Terrezza OD PA Optometrist CurrentSince Jun 30, 2020 Accepting new patients
Baptist Terrezza Group OD PA Optometrist CurrentSince Jan 1, 2025 Accepting new patients
Bell & Terrezza O.D., P.a. Optometrist CurrentSince Jun 30, 2020 Accepting new patients
Dr. Gene Terrezza,O.D. & Associates,P.a. Optometrist CurrentSince Jun 30, 2020 Accepting new patients
Gene Terrezza OD and Associates PA Optometrist CurrentSince Jun 30, 2020 Accepting new patients

Locations

309 N McKenzie St
Foley, AL 36535
Phone (251) 943-5115

5593 Stewart St
Milton, FL 32570
Phone (850) 623-0319

121 Baptist Way
Ste 12001300
Pensacola, FL 32503
Phone (850) 407-9474

8710 Beulah Rd
Pensacola, FL 32526
Phone (850) 434-2060

113 Palafox Pl
Pensacola, FL 32502
Phone (850) 434-2060

800 N Fairfield Dr
Pensacola, FL 32506
Phone (850) 453-5059

Organizations & group practices 6

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": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1255955779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4335 DEVEREUX DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047851",
            "telephone_number": "850-221-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 PALAFOX PL",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025629",
            "telephone_number": "850-434-2060",
            "fax_number": "850-434-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLARD",
        "first_name": "IAN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.