Organization
HOLICKI OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH PETER HOLICKI DO (OWNER)
(517) 279-6335
Entity
Organization
Contact information
Practice address
142 E CHICAGO RD, STE B, COLDWATER, MI 49036
(517) 279-6335
(517) 278-3393
Mailing address
142 E CHICAGO RD, STE B, COLDWATER, MI 49036
(517) 279-6335
(517) 278-3393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4901004481
MI
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0N88010
ADVANTRA FREEDOM
MI
01
—
540A210570
BLUE CROSS BLUE SHEILD OF MICHIGAN
MI
01
—
900A210610
BLUE CROSS BLUE SHEILD OF MI
MI
Enumeration date
08/29/2005
Last updated
03/23/2012
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