Organization
GREGORY D POPOWITZ PC
Active
Other names
Deltavision Optical
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY DARRYL POPOWITZ OD (OWNER)
(517) 381-2000
Entity
Organization
Contact information
Practice address
2333 JOLLY RD, OKEMOS, MI 48864-3541
(517) 381-2000
(517) 381-2006
Mailing address
2333 JOLLY RD, OKEMOS, MI 48864-3541
(517) 381-2000
(517) 381-2006
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003607
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200000002541
—
MI
05
—
200000002542
—
MI
05
—
203456
—
MI
05
—
253368
—
MI
01
—
OC36852
BCBSM
MI
Enumeration date
10/11/2005
Last updated
05/14/2008
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