BANGOR EYE SURGERY, PA (NPI# 1215309653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215309653 |
| Entity Type | Organization |
| Organization Name | BANGOR EYE SURGERY, PA |
| Practice Address |
900-a Hammond Street Bangor ME 04401 |
| Practice Telephone | 2079476743 |
| Practice Fax Number | 2079454397 |
| Mailing Telephone | 2079476743 |
| Mailing Fax Number | 2079454397 |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |
| Authorized Official Name | GARTH ALLEN WILBANKS (TREUSURER) |
| Authorized Official Telephone | 2079476743 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
900-A HAMMOND STREET |
| City | BANGOR |
| State | ME |
| Zip Code | 04401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275629081 | Vision Care of Maine LLC | Clinic/Center | 1 Ridgewood Dr, Bangor, ME 04401-2652 | 2006-10-05 |
| 1407867583 | Acadia Medical Arts Ambulatory Surgical Suite | Clinic/Center | 404 State St, Bangor, ME 04401-6623 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134685019 | Central Maine Orthopaedics Ambulatory Surgery Center, LLC | Clinic/Center | 690 Minot Ave Ste 4, Auburn, ME 04210-3922 | 2019-02-15 |
| 1639230485 | Central Maine Endoscopy Center, LLC | Clinic/Center | 40 Airport Rd Ste 2, Waterville, ME 04901-4501 | 2006-12-13 |
| 1376599381 | Eyecare Medical Group | Clinic/Center | 53 Sewall Street, Portland, ME 04102-2625 | 2006-05-25 |
| 1568967131 | Central Maine Eye Surgery Center LLC | Clinic/Center | 249 Main St, Lewiston, ME 04240-7053 | 2018-03-27 |
| 1063878734 | Cesc, LLC | Clinic/Center | 128 Bucksport Rd, Suite A, Ellsworth, ME 04605-2239 | 2016-01-11 |
| 1518382936 | Spectrum Healthcare Partners, P.a | Clinic/Center | 33 Sewall St, Portland, ME 04102-2603 | 2014-02-21 |
| 1467613299 | Radiance Facial Cosmetic Surgery & Laser Center | Clinic/Center | 181 Academy St, Suite #1, Presque Isle, ME 04769-3178 | 2008-06-24 |
| 1295855948 | Maine Eye Center, Pa | Clinic/Center | 161 Marginal Way, Portland, ME 04101-2438 | 2007-03-29 |
| 1942388418 | Intermed Pa | Clinic/Center | 84 Marginal Way, Suite 1000, Portland, ME 04101-2443 | 2006-11-01 |
| 1023104825 | Vision Care of Maine-aroostook LLC | Clinic/Center | 173 Academy St, Presque Isle, ME 04769-3103 | 2006-10-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.