Organization
VISION CARE OF MAINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN PAINTER (CREDENTIALING SUPERVISOR)
(314) 989-0300
Entity
Organization
Contact information
Practice address
1 RIDGEWOOD DR, BANGOR, ME 04401-2652
(207) 945-6200
(207) 990-3015
Mailing address
1 RIDGEWOOD DR, BANGOR, ME 04401-2652
(207) 945-6200
(207) 990-3015
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
36363
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275629081
—
ME
Enumeration date
10/05/2006
Last updated
07/28/2022
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