Individual provider Active NPI

Robert F Bello, O.D.

  • Optometrist
  • Mendham, NJ
National Provider Identifier
1942340427
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5181 Issued in NJ
Practice address
88 E Main St
Mendham Eyecare
Mendham, NJ 07945-1832
Phone
(973) 543-7110
Fax
(973) 543-6260
NPI assigned
Feb 7, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 5181 NJ Primary

Addresses

Primary practice location

88 E Main St
Mendham Eyecare
Mendham, NJ 07945-1832

Mailing address

88 E Main St
Mendham Eyecare
Mendham, NJ 07945-1832
Phone (973) 543-7110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050802001068 NJ Practitioner - Optometry 6608804497

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

88 E Main St
Mendham Eyecare
Mendham, NJ 07945-1832

88 E Main St Rte
24 Mendham Village Shop
Mendham, NJ 07945-1832

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5181NJMDOptometrist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942340427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 E MAIN ST",
            "address_2": "MENDHAM EYECARE",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079451832",
            "telephone_number": "973-543-7110",
            "fax_number": "973-543-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 E MAIN ST",
            "address_2": "MENDHAM EYECARE",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079451832",
            "telephone_number": "973-543-7110",
            "fax_number": "973-543-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLO",
        "first_name": "ROBERT",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "5181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendham, NJ

Sources for this page

Verify at the official NPI Registry.