Organization Active NPI

M Bello, OD., P.C.

  • Optometrist
  • Gatesville, TX
National Provider Identifier
1578855417
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4428T Issued in TX
Legal business name
M BELLO, OD., P.C.
Doing business as
Vision Concepts
Practice address
113 N Lutterloh Ave
Gatesville, TX 76525-1421
Phone
(254) 865-7979
Fax
(254) 865-2605
NPI assigned
May 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Authorized official

Name
Dr. Melissa Ann Bello, O.D.
Title
Optometrist/Owner
Phone
(254) 865-7979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 4428T TX Primary

Addresses

Primary practice location

113 N Lutterloh Ave
Gatesville, TX 76525-1421

Mailing address

113 N Lutterloh Ave
Gatesville, TX 76528-1421
Phone (254) 865-7979

Other identifiers 3

IdentifierTypeStateIssuer
108385100OtherTXFIRST CARE
20463OtherTXSCOTT & WHITE
P00109892OtherTXRAILROAD MEDICARE

Other names 1

  • Vision Concepts Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1578855417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N LUTTERLOH AVE",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765281421",
            "telephone_number": "254-865-7979",
            "fax_number": "254-865-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N LUTTERLOH AVE",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765251421",
            "telephone_number": "254-865-7979",
            "fax_number": "254-865-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M BELLO, OD., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "BELLO",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "254-865-7979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4428T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "108385100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCOTT & WHITE",
            "identifier": "20463",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00109892",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Concepts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gatesville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.