Provider Demographics
NPI:1346834330
Name:FAMILY VISION SOLUTIONS, PA
Entity Type:Organization
Organization Name:FAMILY VISION SOLUTIONS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:GOVE
Authorized Official - Suffix:JR
Authorized Official - Credentials:OD
Authorized Official - Phone:207-781-7277
Mailing Address - Street 1:204 US ROUTE 1
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04105-1342
Mailing Address - Country:US
Mailing Address - Phone:207-781-7277
Mailing Address - Fax:207-781-7277
Practice Address - Street 1:204 US ROUTE 1
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-1342
Practice Address - Country:US
Practice Address - Phone:207-781-7277
Practice Address - Fax:207-781-7277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-22
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty