Individual provider Active NPI

Barbora G Bell, OD

  • Optometrist
  • Mountain View, CA
National Provider Identifier
1669448924
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12496TPL Issued in CA
Practice address
495 Castro St
Mountain View Optometry & Contact Lens Clinic
Mountain View, CA 94041-2086
Phone
(650) 967-6649
Fax
(650) 967-0237
NPI assigned
Feb 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 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 12496TPL CA Primary

Addresses

Primary practice location

495 Castro St
Mountain View Optometry & Contact Lens Clinic
Mountain View, CA 94041-2086

Mailing address

15563 Union Avenue
Los Gatos, CA 95032-3904
Phone (408) 377-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040309000761 CA Practitioner - Optometry 9133017338 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12496TPLCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Lite Optometry, Inc. Optometrist CurrentSince Jun 10, 2024 Accepting new patients
Fourth Optometric Care of California Optometrist Past Accepting new patients
Fourth Optometric Care of California Optometrist PastSince Apr 24, 2022 Accepting new patients

Locations

286 State St
Los Altos, CA 94022
Phone (650) 948-6910

Organizations & group practices 3

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1669448924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15563 UNION AVENUE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323904",
            "telephone_number": "408-377-2020",
            "fax_number": "408-377-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 CASTRO ST",
            "address_2": "MOUNTAIN VIEW OPTOMETRY & CONTACT LENS CLINIC",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940412086",
            "telephone_number": "650-967-6649",
            "fax_number": "650-967-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "BARBORA",
        "middle_name": "G",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12496TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.