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General NPI Number Information
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NPI Number | 1477651941
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Entity Type | Individual
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Provider Name | ANGELA RENAE BELL O.D.
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 10/08/2007
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Provider Practice Location Address
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Address Line | 711 S CALUMET RD
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City | CHESTERTON
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State | IN
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Zip | 46304-3220
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Country | US
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Telephone | 219-926-1001
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Fax |
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Provider Business Mailing Address
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Address Line | 12435 WASHINGTON ST
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City | CROWN POINT
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State | IN
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Zip | 46307-5189
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 18002740
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License Number State | IN
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