# VISION CARE OF MAINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275629081
- **Authorized official:** LAUREN PAINTER (CREDENTIALING SUPERVISOR)
- **Authorized official phone:** (314) 989-0300

## Contact information

- **Practice address:** 1 RIDGEWOOD DR, BANGOR, ME 04401-2652
- **Practice address phone:** (207) 945-6200
- **Practice address fax:** (207) 990-3015
- **Mailing address:** 1 RIDGEWOOD DR, BANGOR, ME 04401-2652
- **Mailing address phone:** (207) 945-6200
- **Mailing address fax:** (207) 990-3015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 36363 | ME | Yes |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 07/28/2022
