State Street Optics

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

STATE STREET OPTICS

Practice address

207 State St
Bangor, ME 04401-5412

Phone

(207) 992-2888

NPI assigned

Aug 29, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Lise M. Auxier, ABOC

Title

Owner/Optician

Phone

(207) 992-2888

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1376791590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015412",
            "telephone_number": "207-992-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015412",
            "telephone_number": "207-992-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE STREET OPTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "AUXIER",
        "authorized_official_first_name": "LISE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "207-992-2888",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reilly Staples, PHARMD
• Carolyn Joan Starks, DO
• Michael Ray Starks, M.D.
• State of Maine (Dorothea Dix Psychiatric Center Out Patient Services)
• State of Maine (Dorothea Dix Psychiatric Center)
• Katie Stearns-Luce, MLSW
• Lauren Stearns
• Eleanor Stedman, MD
• Kimberly Ann Steinbarger, PT
• Wayne Steller, PMH-NP

• Eyewear Supplier in Bangor, ME
• Providers in Bangor, ME by specialty
• Eyewear Supplier in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.