Provider Demographics
NPI:1497365449
Name:VICTOR M BELLO MD, LLC
Entity Type:Organization
Organization Name:VICTOR M BELLO MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:M
Authorized Official - Last Name:BELLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-577-1881
Mailing Address - Street 1:68 CARRIAGE STONE DR
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022-3132
Mailing Address - Country:US
Mailing Address - Phone:216-577-1881
Mailing Address - Fax:216-292-9159
Practice Address - Street 1:3169 PARK EAST DRIVE, SUITE 306
Practice Address - Street 2:PARKWAY MEDICAL BUILDING SOUTH
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4132
Practice Address - Country:US
Practice Address - Phone:121-657-7188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-05
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty