Bellipanni Eye Clinic, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

843 Issued in MS

Legal business name

BELLIPANNI EYE CLINIC, PLLC

Practice address

104 S Martin Luther King Jr Dr
Indianola, MS 38751-2366

Phone

(662) 887-3120

Fax

(662) 887-3291

NPI assigned

Oct 4, 2011

Organization subpart

No

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

Authorized official

Name

Matthew Bellipanni, O.D.NPI 1346521119

Title

Owner

Phone

(662) 887-3120

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• Direct secure messaging: matthew@bellipannieyeclinic.eyefinity-direct.com

Practitioners 4

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

• Matthew Barnes Bellipanni, O.D.

  • Optometrist
  • Indianola, MS
  • NPI 1346521119
  Medicare reassignment Care Compare group NPD Authorized official
• Chrissy M Manning, OD

  • Optometrist
  • Cleveland, MS
  • NPI 1134507965
  Medicare reassignment Care Compare group NPD
• Forrest Walker Manning, O.D.

  • Optometrist
  • Greenwood, MS
  • NPI 1205382017
  Medicare reassignment Care Compare group NPD
• David J Parker Jr.

  • Optometrist
  • Yazoo City, MS
  • NPI 1922162007
  NPD (past)

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495065600000",
    "number": "1801170287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S MARTIN LUTHER KING JR DR",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512366",
            "telephone_number": "662-887-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S MARTIN LUTHER KING JR DR",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512366",
            "telephone_number": "662-887-3120",
            "fax_number": "662-887-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLIPANNI EYE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2017-05-18",
        "status": "A",
        "authorized_official_last_name": "BELLIPANNI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-887-3120",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Psych Associates, Inc
• Avritt Medical Equipment, Inc.
• Kenneth C Beal Jr., D.D.S.
• Matthew Barnes Bellipanni, O.D.
• Catherine Bishop Vincent, L.P.C.
• Body Chemistry Massage and Spa
• Body Chemistry Massage and Spa
• Elizabeth Lacey Brown, OT

• Optometrist in Indianola, MS
• Providers in Indianola, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2017; 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.