Individual
DR. NATHAN R BJORK
Active
Individual
DR. NATHAN R BJORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
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
Update your record
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