Slate Belt Optical, LLC.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

SLATE BELT OPTICAL, LLC.

Practice address

352 Blue Valley Dr
Bangor, PA 18013-1515

Phone

(610) 588-5665

Fax

(610) 588-3383

NPI assigned

Jan 22, 2013

Last updated

Jan 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brian S Bayda

Title

Office Manager

Phone

(610) 588-5665

Specialties & licenses 6

Addresses

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1184962383",
    "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, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "BAYDA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-588-5665",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "156FC0800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1101X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ophthalmic Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1201X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optometric Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silver Living Home Care LLC
• Slate Belt Health & Rehabilitation Center, LLC
• Slate Belt Medical Equipment & Supplies Inc
• Slate Belt Optical & Hearing Center, LLC
• Slate Belt Optical & Hearing Center, LLC. (Slate Belt Safety)
• Slate Belt Visiting Nurses, Inc.
• Slatebelt Drugs Inc (Slate Belt Pharmacy)
• Anatoly Smolyansky, DDS
• Marissa Spencer, LMT
• St Luke's Physician Group, Inc (St. Luke's Bangor Primary Care)

• 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 Jan 22, 2013; 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.