Blue Valley Vision LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

BLUE VALLEY VISION LLC

Practice address

455 Blue Valley Dr
Bangor, PA 18013

Phone

(610) 452-2720

Fax

(610) 452-2720

NPI assigned

Oct 29, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Timothy James Velekei Sr.NPI 1881059293

Title

Optician

Phone

(610) 432-7000

Specialties & licenses 1

Addresses

Tax ID family

Blue Valley Vision 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.

• Heavenly Vision

  • Optician
  • Bangor, PA
  • NPI 1104373265
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy James Velekei Sr.

  • Optician
  • Bangor, PA
  • NPI 1881059293
  NPD Authorized official

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104298140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 BLUE VALLEY DR",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "18013",
            "telephone_number": "610-452-2720",
            "fax_number": "610-452-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 BLUE VALLEY DR",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "18013",
            "telephone_number": "610-452-2720",
            "fax_number": "610-452-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE VALLEY VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VELEKEI",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "610-432-7000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Thomas Bauer, D.C.
• Joyce Anna Beery, PHARMD
• Colleen Berlen
• Susan B Bina, PT
• Eric Black, LSW
• Blue Valley Vision LLC
• William P Braun III, MD, L AC
• Concetta L Brown, CRNP
• Timothy J Burt, M.S.
• Carol Ann Campbell, COTA

• Eyewear Supplier in Bangor, PA
• Providers in Bangor, PA by specialty
• Eyewear Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.