Provider Demographics
NPI:1922275593
Name:PRO VISION CENTER,INC
Entity Type:Organization
Organization Name:PRO VISION CENTER,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:CAIANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-783-1394
Mailing Address - Street 1:550 CENTER ST
Mailing Address - Street 2:SUITE 9068
Mailing Address - City:AUBURN
Mailing Address - State:ME
Mailing Address - Zip Code:04210-6305
Mailing Address - Country:US
Mailing Address - Phone:207-783-1394
Mailing Address - Fax:207-786-8136
Practice Address - Street 1:550 CENTER ST
Practice Address - Street 2:SUITE 9068
Practice Address - City:AUBURN
Practice Address - State:ME
Practice Address - Zip Code:04210-6305
Practice Address - Country:US
Practice Address - Phone:207-783-1394
Practice Address - Fax:207-786-8136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME1002509332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier