Organization
HALLOWELL & MACMANNIS, O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN E. HALLOWELL O.D. (PRESIDENT)
(207) 255-4460
Entity
Organization
Contact information
Practice address
19 COURT ST, MACHIAS, ME 04654-2108
(207) 255-4461
(207) 255-8609
Mailing address
PO BOX 477, MACHIAS, ME 04654-0477
(207) 255-4461
(207) 255-8609
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
567TA
ME
152W00000X
Optometrist
Primary
667TA
ME
152W00000X
Optometrist
OPT900
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126350001
—
ME
Enumeration date
03/19/2007
Last updated
04/17/2009
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