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Contact Information

BELLA VISTA OPTICAL PLLC
7122 N 59TH AVE FL 1
GLENDALE, AZ85301-2436
 Phone: 623-931-1043
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Health Service

261QH0100X
Indicates primary specialty

NPI Profile & details for BELLA VISTA OPTICAL PLLC · (Female)

NPI Number 1154607943
Status Active
Credentials
Entity Individual
Enumeration date 10/25/2011
Last updated 04/14/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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