MEDICARE: BELL VISION CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	156FX1800X	Optician	DO0004560	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043429764
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELL VISION CENTER, INC.

Provider Business Mailing Address
First Line	:	14030 W DIXIE HWY
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-3443
Country	:	US
Telephone Number	:	305-981-4775
Fax Number	:

Provider Business Practice Location Address
First Line	:	14030 W DIXIE HWY
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-3443
Country	:	US
Telephone Number	:	305-981-4775
Fax Number	:

Authorized Official
Title or Position	:	OPTICIAN SOLE PROPRIETOR
Name	:	MICHELAIRE EMILE
Credential	:
Telephone Number	:	305-981-4775

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	05/26/2008

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Directions to “BELL VISION CENTER, INC. ” Practice Location

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