MAC INNES OPTICAL NPI 1467637637

NPI Information

NPI: 1467637637
Provider Name: MAC INNES OPTICAL
Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

Address:
885 UNION STREET
SUITE 140
BANGOR, ME
ZIP 04401
Phone: (207) 942-0332
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MAC INNES OPTICAL is an optician technician technologist in Bangor, ME. MAC INNES OPTICAL NPI is 1467637637. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

885 UNION STREET
SUITE 140
BANGOR, ME
ZIP 04401-082
Phone: (207) 942-0332
Fax: (207) 942-0332

The provider's authorized official is John Stanton Mac Innes .
The authorized official title is Optician Certified and has the following contact phone number (207) 942-0332.

The enumeration date for this NPI number is 1/7/2008 and was last updated on 3/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FX1800X	Technician/Technologist	Optician	10328	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0902110001	MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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