BLUE VALLEY VISION LLC


Address: 455 Blue Valley Dr, Bangor, PA 18013-1513
Phone: 6104522720

BLUE VALLEY VISION LLC (NPI# 1740803006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740803006
Entity Type Organization
Organization Name BLUE VALLEY VISION LLC
Practice Address 455 Blue Valley Dr
Bangor
PA 18013-1513
Practice Telephone 6104522720
Practice Fax Number 6104523199
Mailing Telephone 6104522720
Mailing Fax Number 6104523199
Enumeration Date 2020-05-21
Last Update Date 2020-05-21
Authorized Official Name MR. TIMOTHY JAMES VELEKEI SR. (OPTICIAN)
Authorized Official Telephone 6104522720
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332H00000X Eyewear Supplier (Equipment, not the service) Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PA 1104298140 05

Other Provider/Organization Names

Other Name Type Code
Blue Valley Vision LLC Former Legal Business Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1104298140 Blue Valley Vision LLC Eyewear Supplier (Equipment, not the service) 455 Blue Valley Dr, Bangor, PA 18013 2015-10-29

Office Location

Street Address 455 BLUE VALLEY DR
City BANGOR
State PA
Zip Code 18013-1513

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104298140 Blue Valley Vision LLC Eyewear Supplier (Equipment, not the service) 455 Blue Valley Dr, Bangor, PA 18013 2015-10-29
1104373265 Heavenly Vision Technician/Technologist 455 Blue Valley Dr, Bangor, PA 18013 2016-09-07
1881059293 Timothy James Velekei Sr. Technician/Technologist 455 Blue Valley Dr, Bangor, PA 18013 2015-12-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588064554 Roxanne Decesare Reflexologist 429 South First St, Bangor, PA 18013 2014-08-27
1467781708 Shadys Rest Preferred Provider Organization 1004 W Juniata Street, Allentown, PA 18013 2009-12-16
1912911371 Richard J Weaver Chiropractor 83 Bangor Junction Road, Blue Valley Plaza, Bangor, PA 18013 2006-07-28
1629492608 Elizabeth Kostura Counselor 51 Market Street, Bangor, PA 18013 2014-02-11
1518261593 Carol Augusta Olzinski Social Worker 51 Market Street, Bangor, PA 18013 2011-01-05
1073846390 Christa Robinson Specialist/Technologist 19 Columbus St, Apt 3, Roseto, PA 18013 2009-09-18
1326096587 Matthew Nicholas Sabatine Jr. Dentist 137 Broadway, Bangor, PA 18013 2006-05-04
1386040830 Kerianne Marie Hicks Behavioral Analyst 837 Garibaldi Ave, Roseto, PA 18013-1001 2014-11-11
1851688725 Amelia Marie Renshaw Social Worker 159 Blue Valley Dr, Bangor, PA 18013-1511 2011-06-29
1154680452 A Healing Path Counseling LLC Counselor 159 Blue Valley Dr, Bangor, PA 18013-1511 2012-05-08
Find all providers in zip 18013

Taxonomy Information

Taxonomy Code 332H00000X
Grouping Suppliers
Classification Eyewear Supplier (Equipment, not the service)

Taxonomy Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184222523 Bj's Wholesale Club Inc. Eyewear Supplier (Equipment, not the service) 110 Longview Dr, Bangor, ME 04401 2020-10-16
1104298140 Blue Valley Vision LLC Eyewear Supplier (Equipment, not the service) 455 Blue Valley Dr, Bangor, PA 18013 2015-10-29
1376831313 Eyemart Express Ltd Eyewear Supplier (Equipment, not the service) 11 Bangor Mall Blvd, Unit H, Bangor, ME 04401-3650 2011-07-12
1376791590 State Street Optics Eyewear Supplier (Equipment, not the service) 207 State St, Bangor, ME 04401-5412 2008-08-29
1124299219 Paul R. Moulton, M.d. Eyewear Supplier (Equipment, not the service) 5 Grove Street, Bangor, ME 04401-5394 2008-03-17
1275547010 Usv Optical Inc Eyewear Supplier (Equipment, not the service) 693 Stillwater Ave, Bangor, ME 04401-3606 2006-07-28
1770981664 Eyemart Express LLC Eyewear Supplier (Equipment, not the service) 11 Bangor Mall Blvd, Suite H, Bangor, ME 04401-3650 2014-12-09
1760727358 Mainely Eyes Eyewear Supplier (Equipment, not the service) 663 Stillwater Ave, Bangor, ME 04401-3645 2012-12-07
1205998689 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 663 Stillwater Ave, Bangor, ME 04401-3680 2006-12-14
1811066079 Smart Vision, LLC Eyewear Supplier (Equipment, not the service) 824 Stillwater Ave, Bangor, ME 04401-3614 2006-11-06
Find all providers in BANGOR

Competitor

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City BANGOR
Zip Code 18013

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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