Individual
GREGORY POPOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5403 W SAGINAW HWY, LANSING, MI 48917-1918
(517) 886-0222
Mailing address
PO BOX 208177, DALLAS, TX 75320-1918
(636) 200-4393
(517) 886-0224
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003607
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C36852
BCBS OF MI
MI
05
—
200000002541
—
MI
05
—
200000002542
—
MI
05
—
203456
—
MI
05
—
253368
—
MI
Enumeration date
01/18/2008
Last updated
02/16/2024
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