Individual
GEORGE MICHAEL BAKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5802 GILBERT DR, SHREVEPORT, LA 71106-2226
(318) 347-2670
Mailing address
5802 GILBERT DR, SHREVEPORT, LA 71106-2226
(318) 347-2670
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2245
AR
152W00000X
Optometrist
4061T
TX
152W00000X
Optometrist
Primary
738-359T
LA
Other
Enumeration date
12/07/2010
Last updated
05/15/2021
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