Organization
VISION CARE OF MAINE, LLC OPTOMETRY GROUP
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
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132650100
—
ME
01
—
1649356700
DMERC
ME
Enumeration date
10/31/2006
Last updated
07/28/2022
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