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
301 N LINCOLN RD, ESCANABA, MI 49829-1387
(906) 789-0668
(906) 789-9752
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
—
00033429
VISION CARE ADV
—
01
—
121516
EYEMED
—
01
—
21520
SPECTERA
—
01
—
OB11009
BCBS
MI
Enumeration date
01/31/2007
Last updated
07/21/2022
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