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Contact Information

SMART VISION, LLC
824 STILLWATER AVE
BANGOR, ME04401-3614
 Phone: 207-947-7554
 Fax: 207-945-0085
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for SMART VISION LLC · (Female)

NPI # 1811066079
Status Active
Credentials
Entity Individual
Enumeration date 11/06/2006
Last updated 02/09/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • ME License # OPT961
  • ME Medicaid 125420101
  • ME Other 44665 DAVIS VISION
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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