Individual
DR. NATHAN R BJORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
315 N BREIEL BLVD, MIDDLETOWN, OH 45042-3868
(513) 424-0339
(513) 424-4910
Mailing address
315 N BREIEL BLVD, MIDDLETOWN, OH 45042-3868
(513) 424-0339
(513) 424-4910
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5104 T2003
OH
174400000X
Specialist
5104T2003
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000019393
CEI BCBS
—
01
—
000000270789
MEC BCBS
OH
01
—
180044530
RAILROAD MEDICARE
OH
05
—
200320880
—
IN
05
—
2226308
—
OH
01
—
651160826029
CARESOURCE
OH
05
—
77000313
—
KY
Enumeration date
05/01/2006
Last updated
02/15/2012
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