| Organization Name: | PRO VISION CENTER |
| NPI Number: | 1467657130 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARY CAIANI (OWNER PRESIDENT) |
| Mailing Address: | 177 Main St South Paris |
| State: | ME US |
| Postal Code: | 042811621 |
| Phone Number: | 2077436577 |
| Fax Number: | |
| NPI Enumeration Date: | 06/20/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |