Individual provider Active NPI

Eni Bello, OD

  • Optometrist
  • Woonsocket, RI
National Provider Identifier
1750976296
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTG00714 Issued in RI
Practice address
385 Mendon Rd
Woonsocket, RI 02895-2477
Phone
(401) 762-4473
NPI assigned
Mar 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODTG00714 RI Primary
Optometrist 152W00000X 5505 MA
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

385 Mendon Rd
Woonsocket, RI 02895-2477

Mailing address

385 Mendon Rd
Woonsocket, RI 02895-2477
Phone (401) 762-4473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20220420003010 RI Practitioner - Optometry 5597152561 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5505MAMDMental Health Counselor
ODTG00714RIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Blackstone Valley Eye Care, P.C. Optometrist CurrentSince Aug 1, 2022 Accepting new patients
4Sight Eyewear Inc. Optometrist CurrentSince Aug 1, 2022 Accepting new patients

Locations

385 Mendon Rd
Woonsocket, RI 02895
Phone (401) 762-4473

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blackstone Valley Eye Care, P.C. 4 clinicians

Practice addresses (Care Compare)

385 Mendon Rd
Woonsocket, RI 02895-2477
Phone (401) 762-4473

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

NPI Registry JSON

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

{
    "created_epoch": "1614988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1750976296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 MENDON RD",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028952477",
            "telephone_number": "401-762-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 MENDON RD",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028952477",
            "telephone_number": "401-762-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLO",
        "first_name": "ENI",
        "name_prefix": "Miss",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-06",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00714",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5505",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

Verify at the official NPI Registry.