MAINELY EYES (NPI# 1760727358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760727358 |
| Entity Type | Organization |
| Organization Name | MAINELY EYES |
| Practice Address |
663 Stillwater Ave Bangor ME 04401-3645 |
| Practice Telephone | 2079453937 |
| Practice Fax Number | 2079453920 |
| Mailing Telephone | 2079453937 |
| Mailing Fax Number | 2079453920 |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2012-12-07 |
| Authorized Official Name | PHILIP GOLDTHWAIT (PRESIDENT) |
| Authorized Official Telephone | 2079453937 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Street Address |
663 STILLWATER AVE |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-3645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821000258 | Virginia Gilmore | Optometrist | 663 Stillwater Ave, Bangor, ME 04401-3642 | 2006-08-13 |
| 1023540309 | Goldthwait Vision Care Inc | Optometrist | 663 Stillwater Ave, Bangor, ME 04401-3680 | 2017-03-28 |
| 1770887002 | John C. Hersey Od, PC | Optometrist | 663 Stillwater Ave, Bangor, ME 04401-3680 | 2010-12-30 |
| 1639208655 | Brad & Mary, Inc. | Durable Medical Equipment & Medical Supplies | 663 Stillwater Ave, Bangor Mall Unit 48, Bangor, ME 04401-3642 | 2007-03-05 |
| 1205998689 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 663 Stillwater Ave, Bangor, ME 04401-3680 | 2006-12-14 |
| 1508925363 | Philip N. Goldthwait | Optometrist | 663 Stillwater Ave, Bangor, ME 04401-3642 | 2006-12-07 |
| 1487667168 | Bangor Mall Eye Association | Optometrist | 663 Stillwater Ave, Bangor, ME 04401-3642 | 2006-08-14 |
| 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 | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| 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 |
| 1104298140 | Blue Valley Vision LLC | Eyewear Supplier (Equipment, not the service) | 455 Blue Valley Dr, Bangor, PA 18013 | 2015-10-29 |
| 1376831313 | Eyemart Express Ltd | Eyewear Supplier (Equipment, not the service) | 11 Bangor Mall Blvd, Unit H, Bangor, ME 04401-3650 | 2011-07-12 |
| 1376791590 | State Street Optics | Eyewear Supplier (Equipment, not the service) | 207 State St, Bangor, ME 04401-5412 | 2008-08-29 |
| 1124299219 | Paul R. Moulton, M.d. | Eyewear Supplier (Equipment, not the service) | 5 Grove Street, Bangor, ME 04401-5394 | 2008-03-17 |
| 1275547010 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 693 Stillwater Ave, Bangor, ME 04401-3606 | 2006-07-28 |
| 1740803006 | Blue Valley Vision LLC | Eyewear Supplier (Equipment, not the service) | 455 Blue Valley Dr, Bangor, PA 18013-1513 | 2020-05-21 |
| 1770981664 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 11 Bangor Mall Blvd, Suite H, Bangor, ME 04401-3650 | 2014-12-09 |
| 1205998689 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 663 Stillwater Ave, Bangor, ME 04401-3680 | 2006-12-14 |
| 1811066079 | Smart Vision, LLC | Eyewear Supplier (Equipment, not the service) | 824 Stillwater Ave, Bangor, ME 04401-3614 | 2006-11-06 |
| Find all providers in BANGOR | ||||
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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.