Individual
ANGELA RENAE BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
711 S CALUMET RD, CHESTERTON, IN 46304-3220
(219) 926-1001
Mailing address
12435 WASHINGTON ST, CROWN POINT, IN 46307-5189
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002740
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20060410
—
IN
01
—
651980D
MEDICARE
IN
Enumeration date
09/20/2006
Last updated
10/08/2007
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