Bella Eyewear INC
Optometrist in Bay Shore, NY. Organization (NPI-2).
NPI number1982123436
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1982123436
- Entity type
- Organization (NPI-2)
- Legal business name
- Bella Eyewear INC
- Organization subpart
- No
- Enumeration date
- Sep 15, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | TUV003020 | NY | Yes |
Practice location
1555 Sunrise Hwy Ste 36Bay Shore, NY 11706-6027
Phone 631-647-8859 · Fax 631-647-8862
Mailing address
1555 Sunrise Hwy Ste 36Bay Shore, NY 11706-6027
Phone 631-647-8859 · Fax 631-647-8862
Authorized official
Michelle Gibson
Owner
6316478859
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All 19 Optometrist providers in Bay Shore · All 2,254 providers in Bay Shore
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