Physician Compare National (NPI:1346521119)

HEALTHCARE PROVIDER: MATTHEW BARNES BELLIPANNI O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1346521119
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2062685217
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111103000346
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BELLIPANNI
	Individual professional last name
Provider First Name	MATTHEW
	Individual professional first name
Provider Middle Name	BARNES
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	BELLIPANNI EYE CLINIC, PLLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1153594304
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	104 S MARTIN LUTHER KING JR DR
	Group Practice or individual's line 1 address
City	INDIANOLA
	Group Practice or individual's city
State	MS
	Group Practice or individual's state
Zip Code	387512366
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6628367950
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y