Organization
BELLEVUE VISION CO
Active
Other names
Benjamin N Fabi
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN NORONA FABI (OWNER OPTICIAN)
(412) 734-3344
Entity
Organization
Contact information
Practice address
568 LINCOLN AVE, BELLEVUE, PA 15202-3530
(412) 734-3344
(412) 734-3344
Mailing address
568 LINCOLN AVE, PO BOX 41088, BELLEVUE, PA 15202-3530
(412) 734-3344
(412) 734-3344
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
6000002744
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015184000003
—
PA
01
—
393046
NVA
PA
01
—
BE280369
BLUE CROSS
PA
Enumeration date
07/24/2007
Last updated
03/05/2012
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