| Organization Name: | BELLA FASHION EYEWEAR, INC. |
| NPI Number: | 1134233695 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LESLIE ANN NISHI (OWNER) |
| Mailing Address: | 16432 Crossbay Blvd Howard Beach |
| State: | NY US |
| Postal Code: | 114143742 |
| Phone Number: | 7183225212 |
| Fax Number: | 7183225210 |
| NPI Enumeration Date: | 08/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 008483-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |