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Contact Information

NATHAN R BJORK, OD
315 N BREIEL BLVD
MIDDLETOWN, OH45042-3868
 Phone: 513-424-0339
 Fax: 513-424-4910
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for NATHAN R BJORK · (Male)

NPI Number 1558328617
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/01/2006
Last updated 02/15/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 5104 T2003
  • OH License # 5104T2003
  • IN Medicaid 200320880
  • KY Medicaid 77000313
  • OH Medicaid 2226308
  • Other 00000019393 CEI BCBS
  • OH Other 651160826029 CARESOURCE
  • OH Other 000000270789 MEC BCBS
  • OH Other 180044530 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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