NPI 1154607943

Bella Vista Optical PLLC

Organisation Optometrist Glendale, AZ

Practice location

Address: 7122 N 59th Ave Fl 1, Glendale, AZ 85301-2436
Phone: (623) 931-1043
Mailing address: 7734 N 59th Ave Suite 102, Glendale, AZ 85301-7816

Authorised official

Name: Selvin Gnanakkan
Title: Medical Director
Phone: (602) 770-9300

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Arizona →

Health Service Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QH0100X

Other Clinic/Center providers in Arizona →

Registry record

NPI: 1154607943
Entity type: Organization
NPI issued: 25 Oct 2011
Record last updated: 14 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.