| John C. Hersey Od, Pc | |
|
663 Stillwater Ave, Bangor, ME 04401-3680 | |
| (207) 262-7192 | |
| Not Available |
| Full Name | John C. Hersey Od, Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 663 Stillwater Ave, Bangor, Maine |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770887002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT856 (Maine) | Primary |
| Provider Name | Virginia Gilmore |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821000258 PECOS PAC ID: 7911991153 Enrollment ID: I20040412000967 |
| Provider Name | John C Hersey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700816352 PECOS PAC ID: 7214970938 Enrollment ID: I20050603000552 |
| Mailing Address | Practice Location Address |
|---|---|
| John C. Hersey Od, Pc Po Box 421, Winterport, ME 04496-0421 Ph: (207) 233-5555 | John C. Hersey Od, Pc 663 Stillwater Ave, Bangor, ME 04401-3680 Ph: (207) 262-7192 |
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