NPI 1659360345 · live from the CMS NPI Registry
Robert W Banglmaier, OD
Optometrist in Portland, ME. National Provider Identifier 1659360345, active.
NPI record
| NPI | 1659360345 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 770 Congress St, Portland, ME 04102 |
| Practice phone | 207-772-8384 |
| Mailing address | Po Box 7487, Portland, ME 04112 |
| Enumerated | October 17, 2005 |
| Last updated | January 19, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT812 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.