Heavenly Vision

NPI #1104373265 in Bangor, Pennsylvania

Provider Information

NPI Number
1104373265
Entity Type
Organization
Organization Name
Heavenly Vision
Subpart
Yes (part of a larger organization)
Parent Organization
BLUE VALLEY VISION LLC
Primary Specialty
Technician/Technologist - Optician
Enumeration Date
Sep 7, 2016
Last Updated
Sep 7, 2016

Practice Location

Address
455 BLUE VALLEY DR
City
Bangor
ZIP Code
18013
Phone
(610) 432-7000

Authorized Official

Name
MR. TIMOTHY JAMES VELEKEI SR., OPTICIAN
Title
OPTICIAN / OWNER
Phone
(610) 432-7000

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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