Individual provider Active NPI

John Stanton Macinnes, OPTICIAN CERTIFIED

  • Optician
  • Bangor, ME
National Provider Identifier
1730370420
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
10328 Issued in ME
Practice address
885 Union Street
Suite 140
Bangor, ME 04401-3082
Phone
(207) 942-0332
Fax
(207) 942-0332
NPI assigned
Aug 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 10328 ME Primary

Addresses

Primary practice location

885 Union Street
Suite 140
Bangor, ME 04401-3082

Mailing address

885 Union Street
Suite 140
Bangor, ME 04401-3082
Phone (207) 942-0332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10328MEMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Macinnes Optical Optician Past Accepting new patients
Mac Innes Optical Optician Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186444800000",
    "number": "1730370420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 UNION STREET",
            "address_2": "SUITE 140",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013082",
            "telephone_number": "207-942-0332",
            "fax_number": "207-942-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 UNION STREET",
            "address_2": "SUITE 140",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013082",
            "telephone_number": "207-942-0332",
            "fax_number": "207-942-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACINNES",
        "first_name": "JOHN",
        "middle_name": "STANTON",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN CERTIFIED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "ME",
            "license": "10328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.