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BANGOR EYE SURGERY, PA
NPI 1215309653
Clinic/Center - Ambulatory Surgical in Bangor, ME

Active since October 26, 2015CLIA 20D2106859 · Waiver
900-A HAMMOND STREET, BANGOR, ME 04401(207) 947-6743(207) 945-4397 Get Directions Write a Review

NPPES record last updated: October 26, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bangor Eye Surgery, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BANGOR EYE SURGERY, PA (NPI 1215309653) is a healthcare organization registered as an ambulatory surgical in Bangor, Maine and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through December 29, 2027 and lists Garth Allen Wilbanks, Treusurer, as its authorized official.

NPPES Registry Identity

NPI1215309653
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBANGOR EYE SURGERY, PA
Location Address900-A HAMMOND STREETBangor, ME 04401
Mailing Address900-a Hammond StreetBangor, ME 04401 · (207) 947-6743 · Fax (207) 945-4397
Phone(207) 947-6743
Fax(207) 945-4397
Organization SubpartNo
Authorized OfficialGarth Allen WilbanksTreusurer · (207) 947-6743
Enumeration DateOctober 26, 2015
✔ NPI 1215309653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
900-A HAMMOND STREET, Bangor, ME 04401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 20D2106859

Bangor Eye Surgery · Bangor, ME
Active · expires Dec 29, 2027
CLIA Number20D2106859
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 30, 2025
Certificate Expiration DateDecember 29, 2027
Laboratory DirectorCynthia A. Self
Laboratory Phone(207) 947-6743
Laboratory LocationBangor Eye Surgery900A Hammond Street, Bangor, ME 04401
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
307 services192 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
141 services112 patients
Incision to improve eye fluid flow 65820
This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.
47 services31 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
22 services17 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bangor Eye Surgery, PA's NPI number?

The NPI number for Bangor Eye Surgery, PA is 1215309653. It was assigned to this organization in the NPPES registry on October 26, 2015.

Where is Bangor Eye Surgery, PA located?

Bangor Eye Surgery, PA is located at 900-A Hammond Street, Bangor, ME 04401. The listed phone number is (207) 947-6743.

What is Bangor Eye Surgery, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Bangor Eye Surgery, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D2106859) is associated with this NPI, valid through December 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bangor Eye Surgery, PA accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Bangor Eye Surgery, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bangor Eye Surgery, PA was last updated on October 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.