NPI 1629147442 · live from the CMS NPI Registry
Thomas Hwnry Dwelley, O. D.
Optometrist in Bangor, ME. National Provider Identifier 1629147442, active.
NPI record
| NPI | 1629147442 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 336 Mount Hope Ave, Suite 6, Bangor, ME 04401 |
| Practice phone | 207-947-4481 |
| Enumerated | November 7, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 215861 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.