Blue Valley Vision Llc

LBN: Blue Valley Vision Llc
Blue Valley Vision Llc is an health care organization with primary practice located at 455 Blue Valley Dr , Bangor PA 18013-1513. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Blue Valley Vision Llc can be contacted via phone (610) 452-2720, or through Velekei, Timothy James via phone (610) 452-2720.

Contact Information

Primary practice address
455 Blue Valley Dr Bangor PA 18013-1513
Phone: (610) 452-2720
Fax: (610) 452-3199
Website:
Map and Directions
Authorized official contact:
Name: Velekei, Timothy James
Phone: (610) 452-2720

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1740803006
LBN Legal business name Blue Valley Vision Llc
DBA Doing business as
Authorized official Velekei, Timothy James
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2020
Last updated May 21st, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740803006 NPPES
Pennsylvania MEDICAID 1104298140

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