Provider Demographics
NPI:1316260482
Name:SILVERBELL EYECARE CENTER, PLLC
Entity type:Organization
Organization Name:SILVERBELL EYECARE CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:N
Authorized Official - Last Name:BAIM
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:520-884-9600
Mailing Address - Street 1:2500 N SILVERBELL RD
Mailing Address - Street 2:SUITE 180
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-7062
Mailing Address - Country:US
Mailing Address - Phone:520-884-9600
Mailing Address - Fax:520-623-8148
Practice Address - Street 1:2500 N SILVERBELL RD
Practice Address - Street 2:SUITE 180
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-7062
Practice Address - Country:US
Practice Address - Phone:520-884-9600
Practice Address - Fax:520-623-8148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ544152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty