Organization
SLATE BELT OPTICAL, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN S BAYDA (OFFICE MANAGER)
(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
156F00000X
Technician/Technologist
—
—
156FC0800X
Contact Lens Technician/Technologist
—
—
156FX1101X
Ophthalmic Assistant
—
—
156FX1201X
Optometric Assistant Technician
—
—
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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