Provider Demographics
NPI:1932504164
Name:VANCIL VISION CARE
Entity Type:Organization
Organization Name:VANCIL VISION CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SONDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:VIGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-469-3022
Mailing Address - Street 1:165 US ROUTE 1
Mailing Address - Street 2:
Mailing Address - City:BUCKSPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04416-4123
Mailing Address - Country:US
Mailing Address - Phone:207-469-3022
Mailing Address - Fax:
Practice Address - Street 1:165 US ROUTE 1
Practice Address - Street 2:
Practice Address - City:BUCKSPORT
Practice Address - State:ME
Practice Address - Zip Code:04416-4123
Practice Address - Country:US
Practice Address - Phone:207-469-3022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-30
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEME0839152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty