Organization Active NPI

Bella Vision, LLC

  • Vision Therapy Optometrist
  • Spartanburg, SC
National Provider Identifier
1750712899
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
Legal business name
BELLA VISION, LLC
Practice address
142 Fernwood Dr
Spartanburg, SC 29307
Phone
(864) 308-8812
Fax
(864) 308-8813
NPI assigned
Nov 27, 2013
Last updated
Sep 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Authorized official

Name
Dr. Janet Lynn Monaco, OD
Title
Sole Member/Owner
Phone
(843) 469-2688

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1526 SC
Vision Therapy Optometrist 152WV0400X NU Primary

Addresses

Primary practice location

142 Fernwood Dr
Spartanburg, SC 29307

Mailing address

142 Fernwood Dr
Spartanburg, SC 29307
Phone (864) 308-8812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140331000097 SC Part B Supplier - Clinic/Group Practice 1254562515 Receives reassigned benefits from 2 practitioners
Practice locations: Spartanburg, SC

National Provider Directory

National Provider Directory

Locations

142 Fernwood Dr
Spartanburg, SC 29307
Phone (864) 308-8812

1855 E Main St
Ste 12
Spartanburg, SC 29307
Phone (864) 308-8812

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1750712899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 FERNWOOD DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29307",
            "telephone_number": "864-308-8812",
            "fax_number": "864-308-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 FERNWOOD DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29307",
            "telephone_number": "864-308-8812",
            "fax_number": "864-308-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VISION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "MONACO",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER",
        "authorized_official_telephone_number": "843-469-2688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1526",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.