Organization
BELLA EYEWEAR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE GIBSON (OWNER)
(631) 647-8859
Entity
Organization
Contact information
Practice address
1555 SUNRISE HWY STE 36, BAY SHORE, NY 11706-6027
(631) 647-8859
(631) 647-8862
Mailing address
1555 SUNRISE HWY STE 36, BAY SHORE, NY 11706-6027
(631) 647-8859
(631) 647-8862
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV003020
NY
Other
Enumeration date
09/15/2017
Last updated
07/21/2022
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