DR. CHARLES A CIVIELLO JR. O.D.
NPI 1528160025
Optometrist in Bangor, ME

Active since September 04, 2006
105 FOREST AVE, BANGOR, ME 04401(207) 942-5597(207) 942-5597 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Charles A Civiello Jr. O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES A CIVIELLO JR. O.D. (NPI 1528160025) is an individual optometrist in Bangor, Maine, licensed in Maine (621TA) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1528160025
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. CHARLES A CIVIELLO JR.Credential: O.D.
Location Address105 FOREST AVEBangor, ME 04401-5316
Mailing AddressPo Box 8064Bangor, ME 04402-8064 · (207) 942-5597 · Fax (207) 942-5597
Fax(207) 942-5597
Sole ProprietorYes
Enumeration DateSeptember 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1528160025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in ME · 621TA
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
105 FOREST AVE, Bangor, ME 04401

Other Identifiers 2

Medicare UPINT31675ME
Medicare ID-Type Unspecified702865ME

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist (Pediatrics)
105 FOREST AVE
BANGOR, ME 04401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Civiello's NPI number?

The NPI number for Charles Civiello is 1528160025. It was assigned to this individual provider in the NPPES registry on September 4, 2006.

Where is Charles Civiello located?

Charles Civiello practices at 105 Forest Ave, Bangor, ME 04401. The listed phone number is (207) 942-5597.

What is Charles Civiello's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Charles Civiello was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.