Organization
MACINNES OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN STANTON MACINNES (OPTICIAN CERTIFIED)
(207) 942-0332
Entity
Organization
Contact information
Practice address
885 UNION ST, STE 140, BANGOR, ME 04401-3082
(207) 942-0332
(207) 942-0332
Mailing address
885 UNION ST, STE 140, BANGOR, ME 04401-3082
(207) 942-0332
(207) 942-0332
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
10328
ME
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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