Provider Demographics
NPI:1447632393
Name:BELLA VISION SERVICES PLLC
Entity type:Organization
Organization Name:BELLA VISION SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FARSHID
Authorized Official - Middle Name:
Authorized Official - Last Name:AMIR
Authorized Official - Suffix:
Authorized Official - Credentials:O,D,
Authorized Official - Phone:210-641-4999
Mailing Address - Street 1:9577 HUEBNER RD
Mailing Address - Street 2:STE. 3
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1687
Mailing Address - Country:US
Mailing Address - Phone:210-641-4999
Mailing Address - Fax:
Practice Address - Street 1:1503 SW LOOP 410
Practice Address - Street 2:STE. 113
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78227-1677
Practice Address - Country:US
Practice Address - Phone:210-675-1515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-26
Last Update Date:2015-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4766TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty