Jacob M Bellamy, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3111 Issued in OK

Practice address

2501 Boardwalk
Norman, OK 73069-6372

Phone

(405) 321-2155

Fax

(405) 321-1170

NPI assigned

Jul 27, 2021

Last updated

Jul 27, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Optometry

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Norman Vision Clinic PLLCGroup PAC ID 4981627593, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Norman Vision Clinic PLLC

  • Optometrist
  • Norman, OK
  • NPI 1376659417
  Medicare reassignment Care Compare group NPD
• Norman Vision Clinic, PLLC

  dba Moore Vision Source

  • Optometrist
  • Moore, OK
  • NPI 1982149969
  NPD
• Psychiatric Health Corporation

  dba FutureHealth TMS

  • Geriatric Psychiatry Physician
  • Oklahoma City, OK
  • NPI 1639343650
  NPD (past)

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1447923404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 BOARDWALK",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696372",
            "telephone_number": "405-321-2155",
            "fax_number": "405-321-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 BOARDWALK",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696372",
            "telephone_number": "405-321-2155",
            "fax_number": "405-321-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLAMY",
        "first_name": "JACOB",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "normanvisionclinic@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "clinic email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "clinic",
            "address_1": "2501 Boardwalk",
            "city": "Norman",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730696372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Jamie Belknap
• Airalessa Bell
• Samantha Bell
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• Bellepine LLC (Whispering Pines Nuring Center)
• Genavieve Belobraydic
• Luke Belsky, PH.D.
• Thomas Belusko

• Optometrist in Norman, OK
• Providers in Norman, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.