Edward Bellingrath, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5050T Issued in TX

Practice address

11645 Angus Rd Ste 5
Austin, TX 78759-4020

Phone

(512) 345-5641

Fax

(512) 345-0863

NPI assigned

Jan 17, 2013

Last updated

Apr 5, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Vision Group, PLLCGroup PAC ID 2062805781, 22 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elite Vision Group, PLLC

  dba Master Eye Associates

  • Optometrist
  • Round Rock, TX
  • NPI 1326718339
  Medicare reassignment Care Compare group NPD
• Berg En Dal PLLC

  dba Jansen Optical

  • Optometrist
  • Austin, TX
  • NPI 1740373141
  Medicare reassignment NPD
• Med Southwest, PLLC

  dba MyEyeDr.

  • Optometrist
  • Houston, TX
  • NPI 1609348739
  Medicare reassignment NPD
• Berg En Dal PLLC

  dba Jansen Optical

  • Optometrist
  • Austin, TX
  • NPI 1881787281
  NPD
• Med Southwest, PLLC

  dba MyEyeDr.

  • Optometrist
  • Lubbock, TX
  • NPI 1851060461
  NPD
• Med Southwest, PLLC

  • Optometrist
  • Oklahoma City, OK
  • NPI 1679440762
  NPD

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1922346444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 ANGUS RD STE 5",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594020",
            "telephone_number": "512-345-5641",
            "fax_number": "512-345-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLINGRATH",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-17",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5050T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bellamora Holistic Therapeutic Solutions LLC
• Ashlyn Brooke Bellamy, MA
• Sarah Alexis McGurrin Belland
• Bellcoa Home Health Service, Inc
• Rebecca Rae Belleisle, RPH
• Charlotte Bellis, LICENSED MIDWIFE
• Kristian Bello Mendez, RD
• Brenda Lee Bellocchio, DDS
• Vincent Bellonzi, DC,CCN
• Yvonne Belmah

• Optometrist in Austin, TX
• Providers in Austin, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.