Mainely Eyes

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

MAINELY EYES

Practice address

663 Stillwater Ave
Bangor, ME 04401-3645

Phone

(207) 945-3937

Fax

(207) 945-3920

NPI assigned

Dec 7, 2012

Organization subpart

No

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

Authorized official

Name

Philip Goldthwait, O.D.

Title

President

Phone

(207) 945-3937

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354838400000",
    "number": "1760727358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 STILLWATER AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013645",
            "telephone_number": "207-945-3937",
            "fax_number": "207-945-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 STILLWATER AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013645",
            "telephone_number": "207-945-3937",
            "fax_number": "207-945-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINELY EYES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-07",
        "last_updated": "2012-12-07",
        "status": "A",
        "authorized_official_last_name": "GOLDTHWAIT",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-945-3937",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Dec 7, 2012; 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.