Provider Demographics
NPI:1942340427
Name:BELLO, ROBERT F (OD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:F
Last Name:BELLO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 E MAIN ST
Mailing Address - Street 2:MENDHAM EYECARE
Mailing Address - City:MENDHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07945-1832
Mailing Address - Country:US
Mailing Address - Phone:973-543-7110
Mailing Address - Fax:973-543-6260
Practice Address - Street 1:88 E MAIN ST
Practice Address - Street 2:MENDHAM EYECARE
Practice Address - City:MENDHAM
Practice Address - State:NJ
Practice Address - Zip Code:07945-1832
Practice Address - Country:US
Practice Address - Phone:973-543-7110
Practice Address - Fax:973-543-6260
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ5181152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU36118Medicare UPIN
NJ158426Medicare ID - Type Unspecified