MEDICARE: DR. GEOFFREY B BELL O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	5444	OH
2	152W00000X	Optometrist	1606DT	KY

General Provider Information

NPI Number	:	1497889711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEOFFREY B BELL O.D.

Provider Business Mailing Address
First Line	:	2220 GRANDVIEW DR
Second Line	:	STE 120
City	:	FT MITCHELL
State	:	KY
Zip	:	41017-1695
Country	:	US
Telephone Number	:	859-578-0393
Fax Number	:	859-815-8896

Provider Business Practice Location Address
First Line	:	2220 GRANDVIEW DR
Second Line	:	STE 120
City	:	FT MITCHELL
State	:	KY
Zip	:	41017-1695
Country	:	US
Telephone Number	:	859-578-0393
Fax Number	:	859-815-8896

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	06/04/2013

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