Bangor Mall Eye Association in Bangor - Optometrist
Bangor Mall Eye Association - NPI 1487667168
Bangor Mall Eye Association is a Optometrist in Bangor, Maine. Bangor Mall Eye Association practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Bangor Mall Eye Association is 1487667168. The last update date is 2020-08-22.
Bangor Mall Eye Association's current location address is 663 Stillwater Ave, Bangor, Maine. You can contact this provider via phone number 2072627192. The mailing address for Bangor Mall Eye Association is 663 Stillwater Ave, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bangor Mall Eye Association |
|---|---|
| Address | 663 Stillwater Ave, Bangor, Maine |
| Phone Number | 2072627192 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OPTOMETRIS |
|---|---|
| Authorized Official Name | Giardina Joseph John |
| Credentials | D.O. |
| Telephone Number | 2072627192 |
NPI Number Detail
| NPI Number | 1487667168 |
|---|---|
| Provider Enumeration Date | 2006-08-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 663 Stillwater Ave |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44013642 |
| Phone Number | 2072627192 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OPT805 |
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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 |
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What is the unique 10-digit identification code issued to Bangor Mall Eye Association by the Centers for Medicare & Medicaid Services?
The Bangor Mall Eye Association has been assigned the NPI (National Provider Identifier) 1487667168 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Bangor Mall Eye Association is physically located?
The Bangor Mall Eye Association is physically situated at the following address: 663 Stillwater Ave, Bangor, ME, 44013642.
What is Bangor Mall Eye Association's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bangor Mall Eye Association is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1487667168 to Bangor Mall Eye Association?
The Centers for Medicare & Medicaid Services originally issued the 1487667168 to Bangor Mall Eye Association on 2006-08-14.
As of what date were the details pertaining to Bangor Mall Eye Association last refreshed?
The information related to the Bangor Mall Eye Association, including its address, specialty, and other relevant details, was last updated on 2020-08-22.