B. Dean Nardis, O.D.
Individual provider Active NPI Optometrist · Belleville, PA
NPI 1467563676 · NPPES record last updated Nov 6, 2009
Key facts
- NPI
- 1467563676
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OEG000679 (PA)
- Practice address
- 4461 E. Main St.
Belleville, PA 17004-9266 - Phone
- (717) 329-6588
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG000679 | PA | Yes |
Addresses
Primary practice location
4461 E. Main St.
Belleville, PA 17004-9266
Mailing address
344 Hickory LN
Belleville, PA 17004-8930
Phone (717) 329-6588
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37415 | Other | PA | AVESIS |
| 49451 | Other | PA | DAVIS VISION |
| 24830 | Other | PA | STARMOUNT |
| 0892436 | Medicaid | PA | |
| 710862119 | Other | PA | NVA |
| 09389 | Other | PA | SPECTERA |
| 22802 | Other | PA | BLUE SHIELD |
| 42379 | Other | PA | DAVIS VISION |
| 919526 | Other | PA | BLOCK VISION |
| 37444 | Other | PA | AVESIS |
Other providers in Belleville, PA
- Angel Rebecca McConaughey
- Allison Nicole McElhaney
- Penny Lynnette Miles
- Robert A Montgomery
- Karen Renee Mort
- John Douglas Ormsby
- Pyramid Healthcare
- Ashley Reed
- Sacred Forest Counseling, LLC
- Lora Saxfield
All providers in Belleville, PA · Optometrist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.