Gregory J & Ronald J Nowak PTRS

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

GREGORY J & RONALD J NOWAK PTRS

Practice address

13734 E 12 Mile Rd
Warren, MI 48088-3751

Phone

(586) 773-8260

Fax

(586) 773-7940

NPI assigned

Feb 16, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Ronald J. Nowak, OPTICIANNPI 1013053586

Title

Partner

Phone

(586) 773-8260

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Twinsite Optical Company Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald Joseph Nowak

  • Optician
  • Warren, MI
  • NPI 1013053586
  NPD (past) Authorized official

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

{
    "created_epoch": "1203120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1659549269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13734 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883751",
            "telephone_number": "586-773-8260",
            "fax_number": "586-773-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13734 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883751",
            "telephone_number": "586-773-8260",
            "fax_number": "586-773-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY J & RONALD J NOWAK PTRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NOWAK",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "586-773-8260",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "540E00825",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twinsite Optical Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Green, DNP, AGACNP-BC
• Vickie M. Green, OTR
• Cassidy Greene, B.A.
• D'Andre Greene
• Berry Lee Greer II
• Gregory S. Apsey, DDS
• Arika Gregory, LLPC
• Kolbe Gregory
• Michael S. Greiner, NP-C, D.C.
• Jeremy Aron Grekin, MD

• Eyewear Supplier in Warren, MI
• Providers in Warren, MI by specialty
• Eyewear Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.