| NPI | 1740803006 |
|---|---|
| Former Legal Business Name | BLUE VALLEY VISION LLC |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JAMES VELEKEI Optician 610-452-2720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |