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DR. KELLYN NACKE BELLSMITH M.D. NPI 1801242573


NPI Information

NPI: 1801242573
Provider Name: DR. KELLYN NACKE BELLSMITH, M.D.
Classification: Ophthalmology - 207WX0110X
Entity Type: Individual

Specialization: Pediatric Ophthalmology and Strabismus Specialist

PECOS Registration: Yes

Address:
3181 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239
Phone: (503) 494-3000
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DR. Kellyn Nacke Bellsmith, M.D. is a pediatric ophthalmology and strabismus specialist ophthalmology in Portland, OR with 8 years of experience. The provider is an ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management. DR. Kellyn Nacke Bellsmith, M.D. NPI is 1801242573. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

3181 SW SAM JACKSON PARK RD
PORTLAND, OR
ZIP 97239-011
Phone: (503) 494-3000
Fax: (503) 494-4286

The NPI 1801242573 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/11/2016 and was last updated on 3/31/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyMD198586OREGONNo
2207WX0110XOphthalmologyPediatric Ophthalmology and Strabismus SpecialistMD198586OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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