Male or Other

Gregory Popowitz OD

Optometrist in Lansing, MI(View on Map)

Full Name

Gregory Popowitz OD

NPI Number

1336325414

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/18/2008

Specialties

(Taxonomies)

Code

152W00000X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

4901003607

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 208177
5403 W SAGINAW HWY

City

Dallas
Lansing

State

TX
MI

Postal Code

75320-1918
48917-1918

Country

US
US

Telephone Number

(636) 200-4393
(517) 886-0222

Identifiers

Identifier

200000002542
253368
200000002541
0C36852
203456

Identifier State

MI
MI
MI
MI
MI

Identifier Issuer

Unknown
Unknown
Unknown
BCBS OF MI
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/16/2024

Provider Address

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