Organization
CHRISTOPHER J. NOWIK, O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER J. NOWIK O.D. (PRESIDENT)
(610) 588-0129
Entity
Organization
Contact information
Practice address
385 BANGOR JUNCTION RD, BANGOR, PA 18013-9369
(610) 588-0129
(610) 588-4700
Mailing address
385 BANGOR JUNCTION RD, BANGOR, PA 18013-9369
(610) 588-0129
(610) 588-4700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000536
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02427500
CAPITAL BLUE CROSS
PA
01
—
4508644
AETNA
PA
01
—
5029340001
DMERC A
PA
01
—
DB2982
RAILROAD MEDICARE
PA
01
—
NO1593770
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/14/2005
Last updated
10/20/2022
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