Individual provider Active NPI

Isaac M Bell, OD

  • Optometrist
  • Lewiston, ID
National Provider Identifier
1396995239
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP-100354 Issued in ID
Practice address
210 Thain Rd
Lewiston, ID 83501-4830
Phone
(208) 746-2644
Fax
(208) 746-2645
NPI assigned
Sep 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 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 ODP-100354 ID Primary

Addresses

Primary practice location

210 Thain Rd
Lewiston, ID 83501-4830

Mailing address

210 Thain Rd
Lewiston, ID 83501-4830
Phone (208) 746-2644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20151204001399 ID Practitioner - Optometry 1355403080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

210 Thain Rd
Lewiston, ID 83501-4830
Phone (208) 746-2644

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODP-100354IDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetime Eye Care PLLC Optometrist CurrentSince Jul 1, 2017 Accepting new patients

Locations

210 Thain Rd
Lewiston, ID 83501
Phone (208) 746-2644

Organizations & group practices 1

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": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1396995239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 THAIN RD",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014830",
            "telephone_number": "208-746-2644",
            "fax_number": "208-746-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 THAIN RD",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014830",
            "telephone_number": "208-746-2644",
            "fax_number": "208-746-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "ISAAC",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-29",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

Verify at the official NPI Registry.