# BELLA VISION CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bella Vision
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922246024
- **Authorized official:** DR. ICHOL DERRICK CHOE O.D. (CEO)
- **Authorized official phone:** (425) 881-6655

## Contact information

- **Practice address:** 8862 161ST AVE NE, SUITE 105, REDMOND, WA 98052-7553
- **Practice address phone:** (425) 881-6655
- **Practice address fax:** (425) 974-7440
- **Mailing address:** 8862 161ST AVE NE, SUITE 105, REDMOND, WA 98052-7553
- **Mailing address phone:** (425) 881-6655
- **Mailing address fax:** (425) 974-7440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 602049389 | WA | Yes |

## Other

- **Enumeration date:** 01/27/2009
- **Last updated:** 06/02/2009