Brad & Mary, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0262658 Issued in ME

Legal business name

BRAD & MARY, INC.

Doing business as

Pearle Vision

Practice address

663 Stillwater Ave
Bangor Mall Unit 48
Bangor, ME 04401-3642

Phone

(207) 947-6591

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Tamara Arrico

Title

General Manager

Phone

(207) 947-6591

Specialties & licenses 1

Addresses

Other names 1

• Pearle Vision Doing business as

Locations

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639208655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 STILLWATER AVE",
            "address_2": "BANGOR MALL UNIT 48",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013642",
            "telephone_number": "207-947-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 STILLWATER AVE",
            "address_2": "BANGOR MALL UNIT 48",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013642",
            "telephone_number": "207-947-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD & MARY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARRICO",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "207-947-6591"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ME",
            "license": "0262658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Michael Bowie, M.D.
• John Theodore Bowman, M.D.
• Sarah R Boyington, PT
• Douglas P Boyink, M.D.
• Riley Boyle, OT
• John Additon Bradford, M.D.
• Karen Lynn Bradford
• Monica Bradford, OTR/L
• James Allen Bradney III, LMSW-CC, LADC
• Randon E. Bragdon, D.M.D.

• Durable Medical Equipment & Medical Supplies in Bangor, ME
• Providers in Bangor, ME by specialty
• Durable Medical Equipment & Medical Supplies in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.