NPIMap

Organization Active NPI

Slate Belt Optical & Hearing Center, LLC.

Doing business as Slate Belt Safety

  • Eyewear Supplier
  • Bangor, PA
National Provider Identifier
1063701332
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
SLATE BELT OPTICAL & HEARING CENTER, LLC.
Doing business as
Slate Belt Safety
Practice address
352 Blue Valley Dr
Bangor, PA 18013-1515
Phone
(610) 588-5665
Fax
(610) 588-3383
NPI assigned
Apr 7, 2011
Last updated
Apr 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Brian S. Bayda
Title
VP
Phone
(888) 642-0001

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Eyewear Supplier 332H00000X NU Primary
Optometrist 152W00000X NU
Technician/Technologist 156F00000X NU
Optician 156FX1800X NU

Addresses

Primary practice location

352 Blue Valley Dr
Bangor, PA 18013-1515

Mailing address

352 Blue Valley Dr
Bangor, PA 18013-1515
Phone (610) 588-5665

Other names 1

  • Slate Belt Safety Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Slate Belt Optical Hearing Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

352 Blue Valley Dr
Bangor, PA 18013
Phone (610) 588-5665

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1063701332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 BLUE VALLEY DR",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180131515",
            "telephone_number": "610-588-5665",
            "fax_number": "610-588-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 BLUE VALLEY DR",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180131515",
            "telephone_number": "610-588-5665",
            "fax_number": "610-588-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLATE BELT OPTICAL & HEARING CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "BAYDA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "888-642-0001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Slate Belt Safety",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bangor, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.