Healthcare Provider Details
I. General information
NPI: 1144857152
Provider Name (Legal Business Name): DENISE A BELL OPTOMETRY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/27/2020
Last Update Date: 03/27/2020
Certification Date: 03/27/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3900 MORSE RD
COLUMBUS OH
43219-3016
US
IV. Provider business mailing address
4862 BELLANN RD
COLUMBUS OH
43221-5506
US
V. Phone/Fax
- Phone: 614-476-2086
- Fax: 614-476-2190
- Phone: 614-370-2355
- Fax: 614-476-2190
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 152WC0802X |
| Taxonomy | Corneal and Contact Management Optometrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DENISE
A
BELL
Title or Position: PRES.
Credential: OD
Phone: 614-370-2355