Individual provider Active NPI

Nicholas Michael Belill, O.D.

  • Optometrist
  • Clio, MI
National Provider Identifier
1679516447
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004242 Issued in 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
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004242 MI Primary

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 2

IdentifierTypeStateIssuer
94 4839830MedicaidMI
NB004242OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20060306000124 MI Practitioner - Optometry 5890701684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Belill Eye Care, PLC. Optometrist CurrentSince Nov 10, 2005 Accepting new patients

Locations

5092 W Vienna Rd
Clio, MI 48420
Phone (810) 625-9686

5092 W Vienna Rd
Ste 1
Clio, MI 48420

5092 W Vienna Rd
Ste I
Clio, MI 48420
Phone (810) 564-2000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1679516447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5092 W VIENNA RD STE I",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484202804",
            "telephone_number": "810-564-2000",
            "fax_number": "810-564-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5092 W VIENNA RD STE I",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484202804",
            "telephone_number": "810-564-2000",
            "fax_number": "810-564-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELILL",
        "first_name": "NICHOLAS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94 4839830",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NB004242",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clio, MI

Sources for this page

Verify at the official NPI Registry.