Provider Demographics
NPI:1407984487
Name:BELL OPTICAL
Entity Type:Organization
Organization Name:BELL OPTICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:VOGL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-668-6401
Mailing Address - Street 1:3427 TRANSIT RD
Mailing Address - Street 2:
Mailing Address - City:DEPEW
Mailing Address - State:NY
Mailing Address - Zip Code:14043-4854
Mailing Address - Country:US
Mailing Address - Phone:716-668-6401
Mailing Address - Fax:716-656-8667
Practice Address - Street 1:3427 TRANSIT RD
Practice Address - Street 2:
Practice Address - City:DEPEW
Practice Address - State:NY
Practice Address - Zip Code:14043-4854
Practice Address - Country:US
Practice Address - Phone:716-668-6401
Practice Address - Fax:716-656-8667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNY5404156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0812690001Medicare NSC