Whalio Doctors

NPI 1487667168

Bangor Mall Eye Association

Organisation Optometrist Bangor, ME

Practice location

Address
663 Stillwater Ave, Bangor, ME 04401-3642
Phone
(207) 262-7192

Authorised official

Name
John Joseph Giardina
Title
Optometrist
Phone
(207) 262-7192

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence OPT805 (ME)

Registry record

NPI
1487667168
Entity type
Organization
NPI issued
14 Aug 2006
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.