Healthcare Provider Details

I. General information

NPI: 1205914504
Provider Name (Legal Business Name): DENISE ANN BELL OD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 04/01/2020
Certification Date: 04/01/2020
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

Practice location:
  • Phone: 614-476-2096
  • Fax:
Mailing address:
  • Phone: 614-370-2355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License NumberOH4543
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: