Wellformed AI

NPI 1689704025 · live from the CMS NPI Registry

Hallowell & Macmannis, O.D., P.A.

Optometrist in Calais, ME. National Provider Identifier 1689704025, active.

NPI record

NPI1689704025 Type 2 · organization
StatusActive
Primary specialtyOptometrist 152W00000X
Practice location4 Park St, Calais, ME 04619
Practice phone207-454-2277
EnumeratedMarch 6, 2007
Last updatedMarch 31, 2009
Authorized officialBrian Hallowell, President

Taxonomies and licenses

TaxonomyCodeLicense
Optometrist152W00000X667TA (ME)
Optometrist152W00000XOPT900 (ME)
Optometrist primary152W00000X567TA (ME)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.