Nicholas Michael Belill, O.D.
Individual provider Active NPI Optometrist · Clio, MI
NPI 1679516447 · NPPES record last updated Jun 28, 2023
Key facts
- NPI
- 1679516447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4901004242 (MI)
- Practice address
- 5092 W Vienna Rd Ste I
Clio, MI 48420-2804 - Phone
- (810) 564-2000
- Fax
- (810) 564-2226
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Ferris State College - College of Optometry, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5092 W Vienna Rd
Suite I
Clio, MI 48420-2804
Phone (810) 564-2000
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060306000124 | MI | Practitioner - Optometry | 5890701684 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belill Eye Care, PLC. | Optometrist | Current |
Accepting new patients |
Locations
5092 W Vienna Rd
Ste 1
Clio, MI 48420
5092 W Vienna Rd
Ste I
Clio, MI 48420
Phone (810) 564-2000
5092 W Vienna Rd
Clio, MI 48420
Phone (810) 625-9686
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901004242 | MI | Yes |
Addresses
Primary practice location
5092 W Vienna Rd Ste I
Clio, MI 48420-2804
Mailing address
5092 W Vienna Rd Ste I
Clio, MI 48420-2804
Phone (810) 564-2000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 94 4839830 | Medicaid | MI | |
| NB004242 | Other | MI | BCBS |
Other providers in Clio, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.