Organization
VISION CARE OF MAINE-AROOSTOOK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN PAINTER (CREDENTIALING SUPERVISOR)
(314) 989-0300
Entity
Organization
Contact information
Practice address
173 ACADEMY ST, PRESQUE ISLE, ME 04769-3103
(207) 764-0376
(207) 764-7612
Mailing address
173 ACADEMY ST, PRESQUE ISLE, ME 04769-3103
(207) 764-0376
(207) 764-7612
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588763189
MEDICARE
ME
05
—
1588763189
—
ME
Enumeration date
09/21/2006
Last updated
07/28/2022
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