Bella Optical, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

OE 1985 Issued in FL

Legal business name

BELLA OPTICAL, INC.

Practice address

2618 Boggy Creek Rd
Kissimmee, FL 34744-4112

Phone

(407) 624-4508

NPI assigned

May 19, 2011

Organization subpart

No

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

Authorized official

Name

Luis A Rossique

Title

Pres

Phone

(407) 617-5988

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1609169986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 BOGGY CREEK RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444112",
            "telephone_number": "407-624-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2618 BOGGY CREEK RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444112",
            "telephone_number": "407-624-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "ROSSIQUE",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "407-617-5988"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "OE 1985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.