Bella Vista Optical PLLC
NPI 1154607943ActiveOrganization· Optometrist· Glendale, AZ
Optometrist in Glendale, Arizona, registered in NPPES in October 2011. The authorized official on file is Selvin Gnanakkan, O.D., Medical Director.
Overview
| NPI | 1154607943 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 25, 2011 |
| Last updated in NPPES | Apr 14, 2021 |
| Certified by provider | Apr 14, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
| Clinic/Center, Health Services | 261QH0100X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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