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) 454-2277
Entity
Organization
Contact information
Practice address
4 PARK ST, CALAIS, ME 04619-1609
(207) 454-2277
(207) 454-2910
Mailing address
4 PARK ST, CALAIS, ME 04619-1609
(207) 454-2277
(207) 454-2910
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
567TA
ME
152W00000X
Optometrist
667TA
ME
152W00000X
Optometrist
OPT900
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126350000
—
ME
Enumeration date
03/06/2007
Last updated
03/31/2009
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