NPI 1508925363 · live from the CMS NPI Registry
Philip N. Goldthwait, O.D.
Optometrist in Bangor, ME. National Provider Identifier 1508925363, active.
NPI record
| NPI | 1508925363 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 11 Bangor Mall Blvd Ste 2, Bangor, ME 04401 |
| Practice phone | 207-945-4452 |
| Enumerated | December 7, 2006 |
| Last updated | May 6, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT751 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.