institution
Heavenly Vision
Optician in Bangor, Pennsylvania
NPI 1104373265

Heavenly Vision is a Optician based in Bangor, PA and is specialized in Optician. Heavenly Vision practices in Bangor, PA. The NPI Number for Heavenly Vision is 1104373265 and holds a License No. 046078 (Pennsylvania).

The current practice location address for Heavenly Vision is 455 Blue Valley Dr, Bangor, PA and can be reached out via phone at 610-432-7000.

Location: 455 Blue Valley Dr, Bangor, PA, 18013-1513
institution
Provider Profile Details
NPI Number
1104373265
Provider Name
Heavenly Vision
Credential
Provider Entity Type
Organization
Address
455 Blue Valley Dr, Bangor, PA, 18013-1513
Phone Number
610-432-7000
Fax Number
Provider Enumeration Date
09/07/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13658572 01 PA CAQH
institution
Provider Business Practice Location Address Details
Address
455 Blue Valley Dr
City
State
Zip
18013
Phone Number
610-432-7000
Fax Number
person
Provider Business Mailing Address Details
Address
455 Blue Valley Dr
City
State
Zip
18013
Phone Number
610-432-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
046078 (Pennsylvania)
Definition
Definition to come...
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