Bellevue Eye Medical Center, Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A87857 Issued in CA

Legal business name

BELLEVUE EYE MEDICAL CENTER, INC.

Practice address

1936 University Ave Ste 112
Berkeley, CA 94704-1003

Phone

(510) 488-6767

Fax

(510) 488-6766

NPI assigned

May 31, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Rachel Erickson

Title

Billing Coordinator

Phone

(510) 679-3363

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: direct@bellevueeyemedicalcenterberkeleyca.compulinkdirect.com

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leonardo M Dacanay, M.D.

  • Ophthalmology Physician
  • Berkeley, CA
  • NPI 1679509269
  Medicare reassignment Care Compare group
• Yue Zhao, M.D.

  • Glaucoma Specialist (Ophthalmology) Physician
  • Berkeley, CA
  • NPI 1851753354
  Medicare reassignment Care Compare group
• Meiyi Liao, PHARM.D.

  • Pharmacotherapy Pharmacist
  • Los Angeles, CA
  • NPI 1891102380
  NPD

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1699267146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 UNIVERSITY AVE STE 112",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041003",
            "telephone_number": "510-488-6767",
            "fax_number": "510-488-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 UNIVERSITY AVE STE 112",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041003",
            "telephone_number": "510-488-6767",
            "fax_number": "510-488-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE EYE MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "510-679-3363",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A87857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699267146",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Direct@BellevueEyeMedicalCenterBerkeleyCA.CompulinkDirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct email address",
            "address_1": "1936 University Ave Ste 112",
            "city": "Berkeley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "947041003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leslie Catherine Bell
• Robert Lee Bell, PA-C
• Sharde Bell
• Susan T. Bell, PH.D.
• Taylor Bell
• Dominique Bellez
• Jasmine Bellez
• Zvi Jeremy Bellin, LPCC
• Madison Beloff
• Sherrie Evelyn Beltran

• Ophthalmology Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.