Christopher J. Nowik, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG-000536 Issued in PA

Practice address

385 Bangor Junction Rd
Bangor, PA 18013-9369

Phone

(610) 588-0129

Fax

(610) 588-4700

NPI assigned

Jul 14, 2005

Last updated

Oct 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DRS Sandra M Krokos & Thomas P Kislan PC

  • Optometrist
  • Tannersville, PA
  • NPI 1487784005
  Medicare reassignment NPD
• Christopher J. Nowik, O.D., P.C.

  • Optometrist
  • Bangor, PA
  • NPI 1750380473
  Authorized official Same address or phone
• DRS Sandra M Krokos & Thomas P Kislan PC

  • Optometrist
  • Nanticoke, PA
  • NPI 1053010926
  NPD
• DRS Sandra M Krokos & Thomas P Kislan PC

  dba Bangor Eye Specialists

  • Optometrist
  • Tannersville, PA
  • NPI 1609634799
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1114926938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 BANGOR JUNCTION RD",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180139369",
            "telephone_number": "610-588-0129",
            "fax_number": "610-588-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 BANGOR JUNCTION RD",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180139369",
            "telephone_number": "610-588-0129",
            "fax_number": "610-588-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWIK",
        "first_name": "CHRISTOPHER",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG-000536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "01405801",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4508644",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "NO1593770",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC A",
            "identifier": "5029340001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD",
            "identifier": "P00097101",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Timothy Patrick O'Donnell, PMHNP-BC
• Oak HRC Slate Belt LLC (Slate Belt Health and Rehabilitation Center)
• One Day Bath Inc.
• Abigail Bess Oxford, ATR-BC, LPC
• Pacifico Dental Care LLC (Pacifico Dental Care)

• Optometrist in Bangor, PA
• Providers in Bangor, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.