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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

NPI Number 1811066079
LBN Legal business name SMART VISION, LLC
Authorized official JESSILIN QUINT - (PRESIDENT/OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 11/06/2006
Last updated 02/09/2017 - About 9 years ago
Identifiers
ME License # OPT961
ME Medicaid 125420101
ME Other 44665 DAVIS VISION
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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