Macik, Gregory M
Macik, Gregory M is an individual health care provider with primary practice located at 101 Willmar Ave Sw Affiliated Community Medical Centers, Willmar MN 56201. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Macik, Gregory M can be contacted via phone (320) 231-5000.Contact Information
Primary practice address
101 Willmar Ave Sw Affiliated Community Medical Centers
Willmar MN 56201
Phone: (320) 231-5000
Fax: (220) 231-5067
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | MN2973 | Minnesota |
Profile Details
| NPI number | 1922004514 |
|---|---|
| LBN Legal business name | Macik, Gregory M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Mar 28th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922004514 | NPPES |
| Minnesota | Other | 339M8MA | BCBS |
| Minnesota | Other | 22-02526 | BCBS |
| Minnesota | Other | 2237465 | BCBS |
| Minnesota | Other | 222010 | BCBS |
| Minnesota | MEDICAID | 650127300 | BCBS |
| Minnesota | Other | MN2973 | BCBS |
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