Individual
DR. NICHOLAS STEPHEN GUZIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
910 FOXCROFT AVE, MARTINSBURG, WV 25401
(304) 267-9911
(304) 267-9914
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
992OD
WV
152W00000X
Optometrist
OEG000014
PA
152W00000X
Optometrist
TA1697
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3101033000
—
WV
01
—
61586604
CAREFIRST BCBS
MD
01
—
GU1314745
HIGHMARK BLUE SHIELD
PA
Enumeration date
10/26/2006
Last updated
11/05/2021
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