Organization
NORTHERN OPTICAL, INC.
Active
Other names
Exact Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE TOKARCZYK (PRESIDENT)
(712) 252-1519
Entity
Organization
Contact information
Practice address
1114 S STEPHENSON AVE, BAY 9, IRON MOUNTAIN, MI 49801-4038
(906) 774-8318
(906) 774-1603
Mailing address
229 4TH ST, SIOUX CITY, IA 51101-1401
(712) 252-1519
(712) 252-1916
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
U
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01242
VISION ONE
—
01
—
121517
ECPA
—
01
—
19204
NATIONAL VISION ADMIN
—
01
—
MI3140
EYEMED
MI
Enumeration date
01/17/2007
Last updated
07/21/2022
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