Bellamy, Todd E
Bellamy, Todd E is an individual health care provider with primary practice located at 11433 Olive Blvd , Creve Coeur MO 63141-7108. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bellamy, Todd E can be contacted via phone (314) 432-1134.Contact Information
Primary practice address
11433 Olive Blvd
Creve Coeur MO 63141-7108
Phone: (314) 432-1134
Fax: (314) 432-1135
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2000161247 | Missouri |
Profile Details
| NPI number | 1093711137 |
|---|---|
| LBN Legal business name | Bellamy, Todd E |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Nov 18th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093711137 | NPPES |
| Missouri | MEDICAID | 315218909 | |
| Missouri | Other | 410044530 |
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