Bangor Mall Eye Association

NPI #1487667168 in Bangor, Maine

Provider Information

NPI Number: 1487667168
Entity Type: Organization
Organization Name: Bangor Mall Eye Association
Primary Specialty: Optometrist
Enumeration Date: Aug 14, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 663 STILLWATER AVE
City: Bangor
State: Maine
ZIP Code: 04401-3642
Phone: (207) 262-7192

Authorized Official

Name: DR. JOHN JOSEPH GIARDINA, D.O.
Title: OPTOMETRIST
Phone: (207) 262-7192

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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