Active NPIIndividual providerSole proprietor

Dr. Charles A Civiello Jr., OD

Optometrist in Bangor, Maine

NPI Number1528160025
Practice location
105 Forest Ave, Bangor, ME 04401-5316
Fax
207-942-5597
Last updated
July 8, 2007

Charles A Civiello is an Optometrist based in Bangor, ME. Charles A Civiello practices in Bangor, ME and has the professional credentials of OD. The NPI Number for Charles A Civiello is 1528160025 and holds a License No. 621TA (ME). The current practice location address for Charles A Civiello is 105 Forest Ave, Bangor, ME 04401-5316 and can be reached out via phone at 207-942-5597 and via fax at 207-942-5597.

Provider Profile Details

NPI Number
1528160025
Provider Name
Charles A Civiello
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
105 Forest Ave, Bangor, ME 04401-5316
Phone Number
207-942-5597
Fax Number
207-942-5597
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 4, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
105 Forest Ave
Bangor, ME 04401-5316
City
Bangor
State
Maine
Zip
04401-5316
Phone Number
207-942-5597
Fax Number
207-942-5597
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
Po Box 8064
Bangor, ME 04402-8064
City
Bangor
State
ME
Zip
04402-8064
Phone Number
207-942-5597
Fax Number
207-942-5597

License Information

License Number
621TA
License State
ME
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Charles A Civiello Jr., OD?

The NPI number of Dr. Charles A Civiello Jr., OD is 1528160025. It was assigned on September 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Charles A Civiello Jr., OD?

Dr. Charles A Civiello Jr., OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in ME under license number 621TA.

Where does Dr. Charles A Civiello Jr., OD practice?

The practice location is 105 Forest Ave, Bangor, ME 04401-5316. The office can be reached at 207-942-5597 (phone) or 207-942-5597 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528160025 directly on the NPPES registry website.

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