State Street Optics

NPI #1376791590 in Bangor, Maine

Provider Information

NPI Number
1376791590
Entity Type
Organization
Organization Name
State Street Optics
Primary Specialty
Eyewear Supplier
Enumeration Date
Aug 29, 2008
Last Updated
Aug 29, 2008

Practice Location

Address
207 STATE ST
City
Bangor
State
Maine
ZIP Code
04401-5412
Phone
(207) 992-2888

Authorized Official

Name
MRS. LISE M. AUXIER, ABOC
Title
OWNER/OPTICIAN
Phone
(207) 992-2888

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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