Individual provider Active NPI

Victor M Bello, M.D.

  • Ophthalmology Physician
  • Willoughby Hills, OH
National Provider Identifier
1326029554
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35. 041460 Issued in OH
Practice address
34950 Chardon Rd
Suite 102
Willoughby Hills, OH 44094-9162
Phone
(440) 975-8200
Fax
(440) 975-8200
NPI assigned
Nov 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.041460 OH
General Practice Physician 208D00000X 35.041460 OH
Ophthalmology Physician 207W00000X 35. 041460 OH Primary

Addresses

Primary practice location

34950 Chardon Rd
Suite 102
Willoughby Hills, OH 44094-9162

Mailing address

34950 Chardon Rd
Suite 102
Willoughby Hills, OH 44094-9162
Phone (440) 975-8200

Other identifiers 1

IdentifierTypeStateIssuer
0437763MedicaidOH

Other names 1

  • Dr. Victor M Bello Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090113000930 OH Practitioner - Ophthalmology 4385707512
I20221202001085 VA Practitioner - Ophthalmology 4385707512 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.041460OHMDFamily Medicine Physician
35. 041460OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care & Surgery PC Ophthalmology CurrentSince Oct 1, 2022 Accepting new patients
Thomas Eyecare, LTD Past Accepting new patients

Locations

1960 Electric Rd
Roanoke, VA 24018
Phone (540) 772-0870

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1326029554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34950 CHARDON RD",
            "address_2": "SUITE 102",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949162",
            "telephone_number": "440-975-8200",
            "fax_number": "440-975-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34950 CHARDON RD",
            "address_2": "SUITE 102",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949162",
            "telephone_number": "440-975-8200",
            "fax_number": "440-975-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLO",
        "first_name": "VICTOR",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-05",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.041460",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35.041460",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35. 041460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0437763",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTOR",
            "last_name": "BELLO",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Willoughby Hills, OH

Sources for this page

Verify at the official NPI Registry.