Active NPIOrganization

Bangor Mall Eye Association

Optometrist in Bangor, Maine

NPI Number1487667168
Practice location
663 Stillwater Ave, Bangor, ME 04401-3642
Fax
—
Last updated
August 22, 2020

Bangor Mall Eye Association is a healthcare organization based in Bangor, ME. Bangor Mall Eye Association practices in Bangor, ME. The NPI Number for Bangor Mall Eye Association is 1487667168 and holds a License No. opt805 (ME). The current practice location address for Bangor Mall Eye Association is 663 Stillwater Ave, Bangor, ME 04401-3642 and can be reached out via phone at 207-262-7192.

Provider Profile Details

NPI Number
1487667168
Provider Name
Bangor Mall Eye Association
Provider Entity Type
Organization
Address
663 Stillwater Ave, Bangor, ME 04401-3642
Phone Number
207-262-7192
Primary Taxonomy
Optometrist · 152W00000X
Organization Subpart
No
Authorized Official
Dr. John Joseph Giardina, DO · Optometrist · 207-262-7192
Provider Enumeration Date
August 14, 2006
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
663 Stillwater Ave
Bangor, ME 04401-3642
City
Bangor
State
Maine
Zip
04401-3642
Phone Number
207-262-7192
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
663 Stillwater Ave
Bangor, ME 04401-3642
City
Bangor
State
ME
Zip
04401-3642
Phone Number
207-262-7192

License Information

License Number
opt805
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 Bangor Mall Eye Association?

The NPI number of Bangor Mall Eye Association is 1487667168. It was assigned on August 14, 2006 and is currently active in the NPPES registry.

What is the specialty of Bangor Mall Eye Association?

Bangor Mall Eye Association is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in ME under license number opt805.

Where does Bangor Mall Eye Association practice?

The practice location is 663 Stillwater Ave, Bangor, ME 04401-3642. The office can be reached at 207-262-7192 (phone).

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 1487667168 directly on the NPPES registry website.

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