# SLATE BELT OPTICAL & HEARING CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194885053
- **Authorized official:** MR. BRIAN S. BAYDA (VP)
- **Authorized official phone:** (610) 588-5665

## Contact information

- **Practice address:** 352 BLUE VALLEY DR, BANGOR, PA 18013-1515
- **Practice address phone:** (610) 588-5665
- **Practice address fax:** (610) 588-3383
- **Mailing address:** 352 BLUE VALLEY DR, BANGOR, PA 18013-1515
- **Mailing address phone:** (610) 588-5665
- **Mailing address fax:** (610) 588-3383

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 156FX1800X | Optician | — | — | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 04/15/2010