Individual
DR. MICHAEL T KOLARIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD0000000726
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045284
BCBS
TN
01
—
103I419945
MEDICARE UPIN
TN
05
—
3595921
—
TN
01
—
7793392
CIGNA
TN
Enumeration date
08/23/2005
Last updated
03/17/2018
Update your record
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