Organization
BLUE VALLEY VISION LLC
Active
Other names
Blue Valley Vision LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY JAMES VELEKEI SR. (OPTICIAN)
(610) 452-2720
Entity
Organization
Contact information
Practice address
455 BLUE VALLEY DR, BANGOR, PA 18013-1513
(610) 452-2720
(610) 452-3199
Mailing address
455 BLUE VALLEY DR, BANGOR, PA 18013-1513
(610) 452-2720
(610) 452-3199
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104298140
—
PA
Enumeration date
05/21/2020
Last updated
05/21/2020
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