Individual provider Active NPI

Ruby L Bello, O.D.

  • Optometrist
  • San Diego, CA
National Provider Identifier
1992898944
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12541T Issued in CA
Practice address
3815 3Rd Ave
#24
San Diego, CA 92103-3077
Phone
(858) 793-0566
NPI assigned
Oct 2, 2006
Sex
Female
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 12541T CA Primary

Addresses

Primary practice location

3815 3Rd Ave
#24
San Diego, CA 92103-3077

Mailing address

3815 3Rd Ave
#24
San Diego, CA 92103-3077
Phone (858) 793-0566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 23, 2016 through Sep 23, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12541TCAMDOptometrist
12541CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bello Optometric Inc Optometrist Current Accepting new patients

Locations

650 Gateway Center Dr
San Diego, CA 92102
Phone (619) 262-2494

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992898944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 3RD AVE",
            "address_2": "#24",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033077",
            "telephone_number": "858-793-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 3RD AVE",
            "address_2": "#24",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033077",
            "telephone_number": "858-793-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLO",
        "first_name": "RUBY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12541T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.