Individual provider Active NPI

Brian James Bellissimo, O.D.

  • Optometrist
  • Belle Vernon, PA
National Provider Identifier
1851487375
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OE007701-P Issued in PA
Practice address
100 Sara Way
Rostraver Square
Belle Vernon, PA 15012
Phone
(724) 929-2481
Fax
(724) 929-2584
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OE007701-P PA Primary

Addresses

Primary practice location

100 Sara Way
Rostraver Square
Belle Vernon, PA 15012

Mailing address

315 Wild Wind Drive
Belle Vernon, PA 15012
Phone (724) 379-8264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050510000472 PA Practitioner - Optometry 1052351988 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OE007701-PPAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bellissimo Eye Care, Inc Optometrist CurrentSince Oct 1, 2010 Accepting new patients

Locations

100 Sara Way
Rostraver Township, PA 15012
Phone (724) 929-2437

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851487375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WILD WIND DRIVE",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "15012",
            "telephone_number": "724-379-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SARA WAY",
            "address_2": "ROSTRAVER SQUARE",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "15012",
            "telephone_number": "724-929-2481",
            "fax_number": "724-929-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLISSIMO",
        "first_name": "BRIAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE007701-P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Vernon, PA

Sources for this page

Verify at the official NPI Registry.