MEDICARE: CHRISTOPHER J. NOWIK, O.D., P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OEG000536	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	DB2982	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5029340001	OTHER	PA	DMERC A
2	NO1593770	OTHER	PA	HIGHMARK BLUE SHIELD
4	02427500	OTHER	PA	CAPITAL BLUE CROSS
5	4508644	OTHER	PA	AETNA

General Provider Information

NPI Number	:	1750380473
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTOPHER J. NOWIK, O.D., P.C.

Provider Business Mailing Address
First Line	:	385 BANGOR JUNCTION RD
Second Line	:
City	:	BANGOR
State	:	PA
Zip	:	18013-9369
Country	:	US
Telephone Number	:	610-588-0129
Fax Number	:	610-588-4700

Provider Business Practice Location Address
First Line	:	385 BANGOR JUNCTION RD
Second Line	:
City	:	BANGOR
State	:	PA
Zip	:	18013-9369
Country	:	US
Telephone Number	:	610-588-0129
Fax Number	:	610-588-4700

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CHRISTOPHER J. NOWIK
Credential	:	O.D.
Telephone Number	:	610-588-0129

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	10/20/2022

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