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Organization
SLATE BELT OPTICAL & HEARING CENTER, LLC
Active
Organization
SLATE BELT OPTICAL & HEARING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN S. BAYDA (VP)
(610) 588-5665
Entity
Organization
Contact information
Practice address
352 BLUE VALLEY DR, BANGOR, PA 18013-1515
(610) 588-5665
(610) 588-3383
Mailing address
352 BLUE VALLEY DR, BANGOR, PA 18013-1515
(610) 588-5665
(610) 588-3383
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
NULL
152WP0200X
Pediatric Optometrist
—
—
152WS0006X
Sports Vision Optometrist
—
NULL
152WS0006X
Sports Vision Optometrist
—
—
152WX0102X
Occupational Vision Optometrist
—
NULL
152WX0102X
Occupational Vision Optometrist
—
—
156F00000X
Technician/Technologist
—
NULL
156F00000X
Technician/Technologist
—
—
156FC0800X
Contact Lens Technician/Technologist
—
NULL
156FC0800X
Contact Lens Technician/Technologist
—
—
156FC0801X
Contact Lens Fitter
—
NULL
156FC0801X
Contact Lens Fitter
—
—
156FX1800X
Optician
Primary
—
NULL
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
04/15/2010
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