Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Charles A Civiello Jr., OD

Individual provider Optometrist · NPI 1528160025

Dr. Charles A Civiello Jr., OD is an Optometrist in Bangor, Maine. Practices as a sole proprietor. Licensed in Maine.

Licensed in
ME
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

105 Forest Ave
Bangor, ME 04401-5316
Phone: (207) 942-5597
Fax: (207) 942-5597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 621TA (ME)

Record details

NPI number1528160025
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedSeptember 4, 2006
Last updated in NPPESJuly 8, 2007

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