Active NPI
Tiffany M Bello, LDO
- Optician
- Omak, WA
National Provider Identifier
1619660446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 61289854
- Practice address
- 902 Engh Rd
Omak, WA 98841-9473 - Phone
- (509) 826-8021
- Fax
- (509) 826-2556
- NPI assigned
- May 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 61289854 | WA | Primary |
Addresses
Primary practice location
902 Engh Rd
Omak, WA 98841-9473
Mailing address
902 Engh Rd
Omak, WA 98841-9473
Phone (509) 826-8021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61289854 | WA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685318400000",
"number": "1619660446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 ENGH RD",
"city": "OMAK",
"state": "WA",
"postal_code": "988419473",
"telephone_number": "509-826-8021",
"fax_number": "509-826-2556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 ENGH RD",
"city": "OMAK",
"state": "WA",
"postal_code": "988419473",
"telephone_number": "509-826-8021",
"fax_number": "509-826-2556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLO",
"first_name": "TIFFANY",
"middle_name": "M",
"credential": "LDO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-29",
"last_updated": "2023-05-29",
"certification_date": "2023-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "WA",
"license": "61289854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omak, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.