Organization
STATE STREET OPTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISE M. AUXIER ABOC (OWNER/OPTICIAN)
(207) 992-2888
Entity
Organization
Contact information
Practice address
207 STATE ST, BANGOR, ME 04401-5412
(207) 992-2888
Mailing address
207 STATE ST, BANGOR, ME 04401-5412
(207) 992-2888
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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