Individual provider Active NPI

Matthew Barnes Bellipanni, O.D.

  • Optometrist
  • Indianola, MS
National Provider Identifier
1346521119
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
843 Issued in MS
Practice address
104 S Martin Luther King Jr Dr
Indianola, MS 38751-2366
Phone
(662) 887-3120
Fax
(662) 887-3291
NPI assigned
Sep 7, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 843 MS Primary

Addresses

Primary practice location

104 S Martin Luther King Jr Dr
Indianola, MS 38751-2366

Mailing address

104 S Martin Luther King Jr Dr
Indianola, MS 38751-2366
Phone (662) 836-7950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20111103000346 MS Practitioner - Optometry 2062685217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellipanni Eye Clinic, PLLCGroup PAC ID 1153594304, 3 clinicians

Practice addresses (Care Compare)

104 S Martin Luther King Jr Dr
Indianola, MS 38751-2366
Phone (662) 887-3120

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bellipanni Eye Clinic, PLLC Optometrist CurrentSince Oct 3, 2011 Accepting new patients
Dr. David J. Parker, Jr. Optometrist Past Accepting new patients

Locations

206 Church St
Belzoni, MS 39038
Phone (601) 247-4532

104 S Martin Luther King Jr Dr
Indianola, MS 38751
Phone (662) 887-3120

104 S Martin Luther King Jr Dr
#J
Indianola, MS 38751
Phone (662) 836-7950

110 N Jerry Clower Blvd
Ste H
Yazoo City, MS 39194
Phone (662) 746-1623

Interoperability endpoints

  • Direct secure messaging: matthew@bellipannieyeclinic.eyefinity-direct.com

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": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346521119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S MARTIN LUTHER KING JR DR",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512366",
            "telephone_number": "662-836-7950",
            "fax_number": "662-247-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S MARTIN LUTHER KING JR DR",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512366",
            "telephone_number": "662-887-3120",
            "fax_number": "662-887-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLIPANNI",
        "first_name": "MATTHEW",
        "middle_name": "BARNES",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianola, MS

Sources for this page

Verify at the official NPI Registry.