# BANGOR EYE SURGERY, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215309653
- **Authorized official:** GARTH ALLEN WILBANKS MD (TREUSURER)
- **Authorized official phone:** (207) 947-6743

## Contact information

- **Practice address:** 900-A HAMMOND STREET, BANGOR, ME 04401
- **Practice address phone:** (207) 947-6743
- **Practice address fax:** (207) 945-4397
- **Mailing address:** 900-A HAMMOND STREET, BANGOR, ME 04401
- **Mailing address phone:** (207) 947-6743
- **Mailing address fax:** (207) 945-4397

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/26/2015
- **Last updated:** 10/26/2015