HEAVENLY VISION NPI 1104373265

NPI Information

  • NPI: 1104373265
  • Provider Name: HEAVENLY VISION
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Organization
  • Doing Business As: BLUE VALLEY VISION
  • Address: 455 BLUE VALLEY DR
    BANGOR, PA
    ZIP 18013
  • Phone: (610) 432-7000

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NPI Details

HEAVENLY VISION is an optician technician technologist in Bangor, PA. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. HEAVENLY VISION NPI is 1104373265. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Blue Valley Vision.

The provider's business location address is:

455 BLUE VALLEY DR
BANGOR, PA
ZIP 18013
Phone: (610) 432-7000

The provider's authorized official is Timothy James Velekei .
The authorized official title is Optician / Owner and has the following contact phone number (610) 432-7000.

The enumeration date for this NPI number is 9/7/2016 and was last updated on 9/7/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1156FX1800XTechnician/TechnologistOptician046078PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
113658572OTHERPENNSYLVANIACAQH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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