Organization
GREGORY J & RONALD J NOWAK PTRS
Active
Other names
Twinsite Optical Company
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD J. NOWAK OPTICIAN (PARTNER)
(586) 773-8260
Entity
Organization
Contact information
Practice address
13734 E 12 MILE RD, WARREN, MI 48088-3751
(586) 773-8260
(586) 773-7940
Mailing address
13734 E 12 MILE RD, WARREN, MI 48088-3751
(586) 773-8260
(586) 773-7940
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540E00825
BCBS
MI
Enumeration date
02/16/2008
Last updated
07/21/2022
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