HEAVENLY VISION (NPI# 1104373265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104373265 |
| Entity Type | Organization |
| Organization Name | HEAVENLY VISION |
| Other Organization Name | BLUE VALLEY VISION |
| Practice Address |
455 Blue Valley Dr Bangor PA 18013 |
| Mailing Address |
455 Blue Valley Dr Bangor PA 18013-1513 |
| Practice Telephone | 6104327000 |
| Mailing Telephone | 6104327000 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |
| Authorized Official Name | MR. TIMOTHY JAMES VELEKEI SR. (OPTICIAN / OWNER) |
| Authorized Official Telephone | 6104327000 |
| Authorized Official Credential | OPTICIAN |
| Is Organization Subpart | Y |
| Parent Organization Name | BLUE VALLEY VISION LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
046078 | PA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CAQH | 13658572 | 01 |
| Other Name | Type Code |
|---|---|
| Blue Valley Vision | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | HEAVENLY VISION CHRISTIAN CENTER INC. | 260 Valentine Lane, Yonkers, Ny 10705 |
| Street Address |
455 BLUE VALLEY DR |
| City | BANGOR |
| State | PA |
| Zip Code | 18013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104298140 | Blue Valley Vision LLC | Eyewear Supplier (Equipment, not the service) | 455 Blue Valley Dr, Bangor, PA 18013 | 2015-10-29 |
| 1740803006 | Blue Valley Vision LLC | Eyewear Supplier (Equipment, not the service) | 455 Blue Valley Dr, Bangor, PA 18013-1513 | 2020-05-21 |
| 1881059293 | Timothy James Velekei Sr. | Technician/Technologist | 455 Blue Valley Dr, Bangor, PA 18013 | 2015-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588064554 | Roxanne Decesare | Reflexologist | 429 South First St, Bangor, PA 18013 | 2014-08-27 |
| 1467781708 | Shadys Rest | Preferred Provider Organization | 1004 W Juniata Street, Allentown, PA 18013 | 2009-12-16 |
| 1912911371 | Richard J Weaver | Chiropractor | 83 Bangor Junction Road, Blue Valley Plaza, Bangor, PA 18013 | 2006-07-28 |
| 1629492608 | Elizabeth Kostura | Counselor | 51 Market Street, Bangor, PA 18013 | 2014-02-11 |
| 1518261593 | Carol Augusta Olzinski | Social Worker | 51 Market Street, Bangor, PA 18013 | 2011-01-05 |
| 1073846390 | Christa Robinson | Specialist/Technologist | 19 Columbus St, Apt 3, Roseto, PA 18013 | 2009-09-18 |
| 1326096587 | Matthew Nicholas Sabatine Jr. | Dentist | 137 Broadway, Bangor, PA 18013 | 2006-05-04 |
| 1386040830 | Kerianne Marie Hicks | Behavioral Analyst | 837 Garibaldi Ave, Roseto, PA 18013-1001 | 2014-11-11 |
| 1851688725 | Amelia Marie Renshaw | Social Worker | 159 Blue Valley Dr, Bangor, PA 18013-1511 | 2011-06-29 |
| 1154680452 | A Healing Path Counseling LLC | Counselor | 159 Blue Valley Dr, Bangor, PA 18013-1511 | 2012-05-08 |
| Find all providers in zip 18013 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760856504 | Usv Optical Inc. | Technician/Technologist | 164 Longview Dr, Bangor, ME 04401-3631 | 2015-11-17 |
| 1265759773 | Camkay | Technician/Technologist | 336 Mthope Ave, Bangor, ME 04401 | 2010-04-23 |
| 1730370420 | John Stanton Macinnes | Technician/Technologist | 885 Union Street, Suite 140, Bangor, ME 04401-3082 | 2007-08-07 |
| 1881059293 | Timothy James Velekei Sr. | Technician/Technologist | 455 Blue Valley Dr, Bangor, PA 18013 | 2015-12-30 |
| 1881866085 | Macinnes Optical | Technician/Technologist | 885 Union St, Ste 140, Bangor, ME 04401-3082 | 2008-03-27 |
| 1467637637 | Mac Innes Optical | Technician/Technologist | 885 Union Street, Suite 140, Bangor, ME 04401-3082 | 2008-01-07 |
| 1912094236 | Sam's Club Optical | Technician/Technologist | 47 Haskell Rd, Bangor, ME 04401-4229 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332445 | Kevin Lee Treat | Technician/Technologist | 144 Bear Hollow Ln, Falls, PA 18615-7777 | 2020-09-29 |
| 1316585102 | Devrick Jamal Cliett Sr. | Technician/Technologist | 225 Wilmington Pike, Suite 200, Chadds Ford, PA 19317 | 2019-12-12 |
| 1407409568 | Leslie Pinkney | Technician/Technologist | 4902 Pulaski Ave, Philadelphia, PA 19144-4131 | 2019-07-18 |
| 1770140816 | Optical Shop of New Hope Inc. | Technician/Technologist | 102 S Main St Ste C, New Hope, PA 18938-2200 | 2019-05-23 |
| 1164988622 | National Vision Inc | Technician/Technologist | 1136 Commerce Blvd, Dickson City, PA 18519-1688 | 2019-02-20 |
| 1033673595 | National Vision Inc | Technician/Technologist | 1930 Douglas Pkwy Ste 54, Erie, PA 16509-7304 | 2019-01-29 |
| 1245712520 | Milissa Parker | Technician/Technologist | 521 S Oxford Valley Rd, Fairless Hills, PA 19030-2612 | 2018-09-03 |
| 1619469673 | National Vision, Inc. | Technician/Technologist | 1265 Knapp Rd, North Wales, PA 19454-1831 | 2018-06-05 |
| 1326536335 | Mark Jay Miller | Technician/Technologist | 3617 Sipler Ln, Huntingdon Valley, PA 19006-3223 | 2018-04-25 |
| 1861995938 | Spectix Haverford | Technician/Technologist | 222 W Rittenhouse Sq, Philadelphia, PA 19103-5705 | 2018-03-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.