Individual
DR. GREG M. NOAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
929 BUSINESS PARK DR, TRAVERSE CITY, MI 49686
(231) 947-6246
(231) 947-8864
Mailing address
929 BUSINESS PARK DR, TRAVERSE CITY, MI 49686-8683
(231) 947-6246
(231) 947-8864
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003086
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4971743
—
MI
05
—
4971752
—
MI
05
—
4971770
—
MI
01
—
900E110240
BCBSM
MI
01
—
900E300160
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
—
900F410030
BCBS OF MICHIGAN
MI
01
—
P00397246
RAILROAD MEDIICARE
MI
Enumeration date
09/06/2005
Last updated
06/07/2018
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