SJV, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SJV, PLLC

Doing business as

Acadia Eye Center

Practice address

766 Stillwater Ave
Bangor, ME 04401-3616

Phone

(207) 570-0793

NPI assigned

May 25, 2023

Last updated

May 25, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patricia Eddy

Title

Credentialing Manager

Phone

(517) 709-3313

Specialties & licenses 1

Addresses

Other names 1

• Acadia Eye Center Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tabetha Leanne Ganzel, OD

  • Optometrist
  • Dover Foxcroft, ME
  • NPI 1356184758
  Medicare reassignment Care Compare group NPD
• Samuel Valley, OD, PHARMD

  • Optometrist
  • Bangor, ME
  • NPI 1235640871
  Medicare reassignment Care Compare group NPD
• Emily Ketch, OD

  • Optometrist
  • Brewer, ME
  • NPI 1376476028
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1689366734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 STILLWATER AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 STILLWATER AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013616",
            "telephone_number": "207-570-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJV, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "EDDY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "517-709-3313"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acadia Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gurpreet Singh, MBBS (MD)
• Karen Singh, MD
• Keith Amit Singh, MD
• Ashley Eileen Sirois, CST-FA
• Sandy K Sites Clarke, LCSW
• Marek Skacel, MD
• Annamaria Skacelova, M.D.
• Elska S Skegg, FNP
• Emily Skrok, FNP
• Skye Dental PLLC

• Optometrist in Bangor, ME
• Providers in Bangor, ME by specialty
• Optometrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.