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Organization

HOLICKI OPTICAL INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH HOLICKI DO (OWNER)
(517) 279-6335
Entity
Organization

Contact information

Practice address
1409 S LAKEVIEW AVE, STURGIS, MI 49091-2350
(269) 651-4545
Mailing address
142 E CHICAGO RD STE B, COLDWATER, MI 49036-8449
(517) 279-6335

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
900045114
PRIORITY HEALTH
MI
01
OG50032
BLUE CROSS BLUE SHEID OF MI
MI
Enumeration date
06/08/2011
Last updated
03/23/2012
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