Organization
GOLDTHWAIT VISION CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP N GOLDTHWAIT O.D. (OWNER)
(207) 945-4452
Entity
Organization
Contact information
Practice address
11 BANGOR MALL BLVD STE 2, BANGOR, ME 04401-3650
(207) 945-4452
(207) 945-9450
Mailing address
11 BANGOR MALL BLVD STE 2, BANGOR, ME 04401-3650
(207) 945-4452
(207) 945-9450
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT751
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508925363
—
ME
Enumeration date
03/28/2017
Last updated
05/06/2025
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