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Contact Information

SMART VISION, LLC
255 WESTERN AVE
AUGUSTA, ME04330-4933
 Phone: 207-622-5800
 Fax: 207-621-2790
 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

NPI Number 1043394885
LBN Legal business name SMART VISION, LLC
Authorized official JESSILIN QUINT - (PRESIDENT/OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2006
Last updated 02/06/2017 - About 9 years ago
Identifiers
ME License # OPT961
ME Medicaid 125420001
ME Medicaid 125420100
ME Medicaid 125420101
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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