Organization Active NPI

Hallowell & Macmannis, O.D., P.a.

  • Optometrist
  • Calais, ME
National Provider Identifier
1689704025
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
567TA Issued in ME
Legal business name
HALLOWELL & MACMANNIS, O.D., P.A.
Practice address
4 Park St
Calais, ME 04619-1609
Phone
(207) 454-2277
Fax
(207) 454-2910
NPI assigned
Mar 6, 2007
Last updated
Mar 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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

Authorized official

Name
Dr. Brian E. Hallowell, O.D.NPI 1851308977
Title
President
Phone
(207) 454-2277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 567TA ME Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 667TA ME
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPT900 ME

Addresses

Primary practice location

4 Park St
Calais, ME 04619-1609

Mailing address

4 Park St
Calais, ME 04619-1609
Phone (207) 454-2277

Other identifiers 1

IdentifierTypeStateIssuer
126350000MedicaidME

National Provider Directory

National Provider Directory

Locations

1 Park St
Calais, ME 04619
Phone (207) 454-2277

19 Court St
Machias, ME 04654
Phone (207) 255-4412

19 Court St
Lowr
Machias, ME 04654
Phone (207) 454-4461

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1689704025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PARK ST",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046191609",
            "telephone_number": "207-454-2277",
            "fax_number": "207-454-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PARK ST",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046191609",
            "telephone_number": "207-454-2277",
            "fax_number": "207-454-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLOWELL & MACMANNIS, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "HALLOWELL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-454-2277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "ME",
            "license": "567TA",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "ME",
            "license": "667TA",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126350000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calais, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.