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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

NPI Number 1154607943
LBN Legal business name BELLA VISTA OPTICAL PLLC
Authorized official SELVIN GNANAKKAN - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2011
Last updated 04/14/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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