Provider Demographics
NPI:1497889711
Name:BELL, GEOFFREY B (OD)
Entity Type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:B
Last Name:BELL
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2220 GRANDVIEW DR
Mailing Address - Street 2:STE 120
Mailing Address - City:FT MITCHELL
Mailing Address - State:KY
Mailing Address - Zip Code:41017-1695
Mailing Address - Country:US
Mailing Address - Phone:859-578-0393
Mailing Address - Fax:859-815-8896
Practice Address - Street 1:2220 GRANDVIEW DR
Practice Address - Street 2:STE 120
Practice Address - City:FT MITCHELL
Practice Address - State:KY
Practice Address - Zip Code:41017-1695
Practice Address - Country:US
Practice Address - Phone:859-578-0393
Practice Address - Fax:859-815-8896
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5444152W00000X
KY1606DT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist